ASSOCIATION OF CONCERT BANDS ORGANIZATIONAL OR CORPORATE MEMBERSHIP APPLICATION _______________ New Member _______________ Renewing Member Organization or Corporation Name:_____________________________________________ Address:______________________________________________________________________ City: _________________________ State: _____ZIP Code (with +4): ______________ (For Organizations), ZIP Code of rehearsal location:__________________________ Contact Name:_________________________________________________________________ Contact Title:________________________________________________________________ Telephone:(____________)______________________________________________________ E-Mail:_______________________________________________________________________ Website URL:__________________________________________________________________ How did you hear about ACB?___________________________________________________ PLEASE CHECK MEMBERSHIP CATEGORY: _______ Corporate . . . . . . . . . . . . . . . . . . . . . .$150.00/year* _______ Organizational . . . . . . . . . . . . . . . . . . . $ 50.00/year* _______ Organizational w/ BMI/ASCAP Blanket License . . . . .$265.00/year* ~ BMI / ASCAP BLANKET PERFORMANCE LICENSING AGREEMENT ~ Any organizational member of ACB meeting each of the following criteria is eligible for a Blanket Performance License from BMI/ASCAP for an additional annual fee of $208.00: 1. Dues-paying member of the Association of Concert Bands; 2. Annual gross ticket sales of less than $50,000; 3. Annual operating budget of less than $50,000; and, 4. No outstanding dues owed to ASCAP/BMI. COMMUNICATION OPT-OUT: One of the benefits to corporate members of ACB the sharing address information regarding ACB members. We have NOT been sharing email addresses with our corporate members, offering instead to forward any corporate email communication to members from the ACB office. If you do not wish ACB to forward corporate-based email to you, check the box below. ________ NO. You do not have my permission to forward email to me on behalf of ACB corporate members. PLEASE NOTE: ~ *International memberships please add $15.00/year. ~ ACB memberships run January 1 through December 31. ~ 1/2-year memberships are available after July 1 for the price of: Organizational...$25.00; Corporate...$75.00. This prorated fee will cover from July 1 through December 31. ~ Fully-paid memberships of those joining after October 1 will begin January 1 of the following year. Please mail completed application and check or money order payable to the Association of Concert Bands to: ASSOCIATION OF CONCERT BANDS Nada Vencl, Secretary 6613 Cheryl Ann Drive Independence, OH 44131-3718 (Rev. Membership Brochures Org-Corp 10-23-05.txt)