MABMA
4856 N. Shoreland Ave.
Milwaukee, WI 53217-5821
Remember - this organization is musicians and fans of Bluegrass. You don't have to play an instrument to join!
(Please print neatly)
Name ______________________________________________________________________
Address ___________________________________________________________________
City ___________________________________ State _____ Zip+4 __________-_________
Phone ___________________________________________
E-Mail Address ___________________________________________
(if available)
Individual - $10 Family - $15 Corporate - $25
Bluegrass Instrument(s) played: (circle or fill in the blank)
banjo guitar fiddle mandolin bass harmonica autoharp
dobro CDs radio other: _____________________________
New Member or Renewal ?
Membership amount enclosed: $ _________________
Additional donation enclosed: $ _________________
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