UCCMA MEMBERSHIP APPLICATION - UCCMA.org
Please enter all of the codes below that apply to your Position under Position

 

MM - Minister of Music	DM - Director of Music
AMD - Associate Music Director	SL - Section Leader
CD - Choir Director	HB - Handbell Director
O - Organist	C - Clergy
O/C - Organist/Choir Director	V - Volunteer
DMA - Director of Music and Arts	P - Pianist
S - Soloist	F - Friend

Date________________________  Application type: New Member ___  Renewal ___

Name:________________________________________________________________

Address:______________________________________________________________

City:_________________________________________________________________

State:______________________________ Zip Code:______________________

Home Phone:________________________  Fax:_____________________________

Email:_____________________________@_____________________________

Church:_______________________________________________________________

Position: (codes)_____________________________________________________

Church Address:_____________________________________________________

City:_________________________________________________________________

State:_____________________________ Zip Code:________________________

Church Phone:______________________ (ext.)______________

Please put a check mark next to your preferred mailing address.

Mail with $45 check made payable to UCCMA to: