INBMA Membership

If you would like to join the Inland Northwest Bluegrass Music Association, Print this page, fill it out and mail it along with your payment to:  Inland Northwest Bluegrass Music Association, PO Box 942, Spokane, WA  99210

Name: ___________________________________

Phone:  (_____)_____________________

Address: ____________________________________________________________________

City: ____________________________________ State:____ Zip: ______________

Email: _________________________________________

check here if any of the above information is a change (address, phone, email, etc.)

check here if you are a member of a bluegrass band.  Band name:                                                                                                      

Membership/donation: January 1st - December 31st

Family ($25/year)

Family ($65/3 years)

Sponsor ($25/year)

I play:

Guitar  Fiddle  Mandolin  Banjo  Dobro  Bass  Other __________________________

(You do not need to play an instrument to support bluegrass music!)

I can help:

Events  Publicity Newsletter  Bake Sales Other                                                                 

Signature:________________________________________

Date:_______________________________

Office use only:
Check # _____________________ Amount:_____________________ Database:_____________________