Individual Membership

Your membership will be valid until July 31, 2011. In order to be eligible for CARAS membership, you must be actively working in the Canadian music industry.

Cost is $50.00 plus HST totaling $56.50

First Name:
Last Name:
Company:
Title:
Band / Stage Name:
Industry Occupation:	Agent, Manager, PromoterDJEducationEntertainment LawyerMedia, PrintMedia, TelevisionMusic Industry AssociationOtherProducer, RecordingProducer, TelevisionPublicityPublisherRadioRecord Company, IndependentRecord Company, MajorRecording Artist, SongwriterRecording EngineerRetailStudent/Scholarship RecipientTelevisionVenueVideo/Film Additional Info:
Address:
City:
Province:	AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaNunavutPEIOntarioQuebecSaskatchewanYukonAlaskaAlabamaArkansasArizonaCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyoming Other:
Country:	Canada USA Other:
Postal Code:
Email:
Telephone:
Alternative Telephone:
Fax:
Password:	* This password will be required to log in and/or update your membership. It must be between 5 and 10 characters, and a combination of letters and numbers only.
Confirm Password:
Membership Fees:	Individual Membership ($50.00 + $6.50 HST) $56.50
You can keep music alive by making a tax deductible donation to MusiCounts – CARAS' music education program Amount to Donate:  No thanks  $10.00   $25.00   $50.00   $100.00  Other  $  Total Amount: $ CREDIT CARD INFORMATION ABOUT SSL CERTIFICATES Name on Card Credit Card Number Expires January February March April May June July August September October November December  /  2010 2011 2012 2013 2014 2015 2016 2017 2018 2019   I have reviewed the above information and it is accurate. I hereby approve my application for membership to CARAS. GST# 824991095 An email confirmation will be sent to you at the address above as receipt of payment.