HBMAF Membership Application *PLEASE PRINT CLEARLY*

Please Check One: New Member __ Renewal _____ Address Correction _____

 

Name: ________________________________________ Date: _______________

 

Winter (Florida) Address: ___________________________________________________

 

Winter (Florida) City: _____________________________ State: __ Zip: ________

 

Winter (Florida) Phone: ________________

 

Email Address: _____________________

 

Summer Address (if different): ______________________________________________

 

Summer City: _______________________________ State: __ Zip: _________

 

 

Date:______________

 

Membership dues are $25.00 per year per family, which includes admission to HBMAF events. A discount is offered for a 3 year membership at $70.00.

 

Note: Membership does not cover admission to any non-HBMAF event at Craig's RV!

 

PLEASE DO NOT MAIL THIS FORM IF YOU ARE PLANNING TO ATTEND OUR MONTHLY EVENT! You can join at the Membership Table at the monthly HBMAF show and receive your membership card there. If you choose to mail in the form, your membership will go into effect and you can pick up your membership card at one of our shows. Membership cards will not be mailed out. They are only valid for admission to our shows.

 

Mailing Address:

Heartland Bluegrass Music Association of Florida

7895 NE Cubitis Ave., Arcadia, FL 34266