Annual Membership Application and Renewal Form Please fill out the form, then click Continue to go to our secure credit card processing area! If there are no changes in your information, you only need to fill out your name, email and address.
Full Name
Caution: only 20 spaces total are available  for ALL of your instrument listing!
Instrument(s)		Also, how you list the FIRST instrument will determine where your listing appears in the directory. For example, the entry "keyboards" will appear in a different section than "kybds".
Address	(Don't publish my address)
City
State
Zip
Phone 1	Choose a phone type ================== Home Service Pager Fax Office Agent Cellphone    (Don't publish this phone)
Phone 2	Choose a phone type ================== Home Service Pager Fax Office Agent Cellphone    (Don't publish this phone)
Phone 3	Choose a phone type ================== Home Service Pager Fax Office Agent Cellphone    (Don't publish this phone)
Email
Website
Please indicate what committee(s) you would be willing to participate in. Your RMALA depends on your involvement!
Choice 1	================== RMANite WebTech Membership
Choice 2	================== RMANite WebTech Membership
Choice 3	================== RMANite WebTech Membership
Check here if you would like to be listed as a teacher in our next Directory.
If you will be listed as a teacher, you may add a short comment (50 characters) here
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