Chattanooga Musicians' Union - Individual Membership Update Form

Contact Information

First Name
Nick Name
Middle Name
Last Name
Former Name
Professional Name
Address
City
State
Zip Code
Phone
Fax
E-mail
Website

Please select up to three preferred styles for music performances.

Style 1
Style 2
Style 3

Please enter up to six instruments that you play in performances. If you offer lessons in a particular instrument, please mark the corresponding checkbox.

Instrument 1	Lessons taught in Instrument 1
Instrument 2	Lessons taught in Instrument 2
Instrument 3	Lessons taught in Instrument 3
Instrument 4	Lessons taught in Instrument 4
Instrument 5	Lessons taught in Instrument 5
Instrument 6	Lessons taught in Instrument 6

Please enter the names of up to three music groups which you belong to.

Music Group 1
Music Group 2
Music Group 3

Other Information/
Biography
(optional)

Hide my contact information and profile from the musicians directory on the public website. (Where is this?)
Hide my contact information and profile from the musicians directory on members' only website. (Where is this?)