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Membership Application Mail to the address below: KCMA 555 Douglas Rd. Murray, Ky. 
 Name: ________________________________________________________________________  

Stage/Band Name:______________________________________________________________  

Address:_________________________________City:______________________State:_______  

Zip:__________________  

E-mail:________________________________________________________________________  

Website:______________________________________________________________________  

Phone: (____)_____-__________   DOB (optional):________________________   Age group: 3-6, 

7-12,  13-16,  17-20,  Adult  

Category of Music (Please check all that applies): _____Traditional Country _____New / Modern

Country _____Traditional Gospel _____New / Modern Gospel _____Bluegrass _____Dance Team

/ Cloggers _____Individual Dancer / Clogger _____Song Writer / Co-Writer _____Fan

_____Business

Membership dues are $ 12.00 per year. All memberships expire Dec. 31st each year. Dues are prorated as to the month you become a members. All members MUST abide by the By Laws of the KCMA. Anyone found not following the By Laws will be removed from the KCMA. Anyone wishing to become a member MUST be in good standing with ALL venues, (i.e. you have not been banned from any venue). Please allow two (2) weeks to process your application.