MCS 2019 Registration Form
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First Name *
Last Name *
Street Address *
City/Town and Zipcode *
E-mail Address *
Best Phone Number to Contact You *
How did you hear about MCS? *
Birthday - (To honor and celebrate you, please list the month and day. Example: 11-3) *
Dues 2019 *
Required
Music   *
Required
Singer Donation: please select a funding level *
Required
Where do you work? Many times employers will contribute to non-profits. *
Payment Total: (Dues + $44 music fee + singer donation= Payment Total).                                   Payment can be made in person by cash, check or credit card. *
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