Musician's Referral Service Quick Application

Name :

Street Address
Apt #
City
State
Zip

E-Mail :

Web Site

Phone to be listed

 - -

Other Phone Number

 - -
Year Of Birth Only
Height
Weight
Marital Status
Primary Instrument
Other Instruments
Are You A Lead Singer
If so, How Many Songs
Do You Sing Backup Parts
If so, What Parts
Primary Musical Styles
Years Of Pro Experience
Reference 1 (Name Contact Info)

Reference 2 (Name Contact Info)

Reference 3 (Name Contact Info)
Training / Education
Type of Job You Are Seeking

How Would You Like Your Ad To Read?  You do not need to use your name or instrument here.

Please use only 65 Total Spaces

FILL OUT, PRINT AND MAIL APPLICATION WITH APPROPRIATE FEE
Make all checks payable to "Dick McVey"

$125.00   I want to take advantage of the full 12-month membership with no application fee

$   35.00   I want to do the monthly fee of $15 with a one time $20 Application fee
                             First month is $35 and then $15 per month paid monthly - no obligation past the first month
 

MAIL TO:  Dick McVey * 102 Bentree Court * Hendersonville, TN 37075

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