Canadian
New Music Network

Membership form

Individual voting member

Contents of the coloured fields will appear on our web site.

First time
Renewal Invoice number (if applicable):

Membership type

Individual voting member (1 vote) $20 Includes having your personal URL listed on the CNMN Web site

CNMN membership is good for one year, from January 1 to December 31.

Preferred Language of Communication

French
English

Verification

This question helps us eliminate spam.

Add 2 and 3

Identity

First name
Last name

Contact

Address (no, street, apartment)
City
Province
Country
Postal code
Phone
Email address (mandatory field)
Web site

Description

Please select the category (or categories) — if any — that best describe you. This information will be used for our web directory.

  • Music fan
  • Musician, ensemble
    • Composer
    • Improviser
    • Performer, soloist
  • Administrator
  • Concert, festival
    • Concert presenter, producer, promoter
  • Education
    • Music educator
  • Media
    • Journalist, writer, radio host, etc.
  • Researcher (music theory, musicology, music technology)

Payment methods

check, money order to CNMN
(Only if you “print” this document to mail to: 416, rue McGill — Montréal QC H2Y 2G1)
VISA
MasterCard
American Express

2-step ordering (easy & secure)

Step 1

Fill-in only the first 8 digits (one per box) of your card.

Cardholder name
VISA, MasterCard or American Express credit card number - - X X X X - X X X X
Expiration date (ex.: 06/14 for June 2014) X X / X X

Note: The merchant name on your credit card statement will be DIFFUSION i MéDIA.

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