Southern Gospel Music Guild
MEMBERSHIP FORM

Fill this form out, Print it, then mail it using the information below.

Please consider my membership in the Southern Gospel Music Guild as follows:

  I would like to join the Southern Gospel Music Guild as a Participating Member.  I have enclosed a check for $500 (or $100 for an additional participating membership through my organization.)

  I wold like to join as a Supporting Member.  My check for $75 is enclosed.

NAME: 

ORGANIZATION: 

MAILING ADDRESS:

PHONE:

FAX:     

EMAIL: 

Check as appropriate:

  I derive a majority of my income from Southern Gospel music.

  I derive a portion of my income from Southern Gospel music.

MEMBERSHIP DUES PAYMENT INFORMATION:

Check credit card type:

  VISA     MasterCard      Discover

Credit Card Number: 

Expiration Date: 

If you are paying by check instead of credit card, please mail this form along with your check or money order to the address below: