Update AFM Information
Please use this form to securely update your AFM membership records. Correct any information that was incorrect on the emailed document.

 Required fields: Email Address, Confidentiality Questions, and Instruments you play and Teach. All other fields are only necessary if changes need to be made.
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Email *
EMAIL ADDRESS IS AVAILABLE TO AFM MEMBERS? *
Title: (Mr. Ms. Mrs. Mx. or other)
First Name *
Middle Name
Last Name *
Professional Name
Address Line 1
Address Line 2
City
State
Zip Code
ADDRESS IS AVAILABLE TO AFM MEMBERS *
Home Phone
HOME PHONE IS AVAILABLE TO AFM MEMBERS *
Work Phone Number
WORK PHONE IS AVAILABLE TO AFM MEMBERS
Clear selection
Cell Phone Number
CELL PHONE IS AVAILABLE TO AFM MEMBERS *
Date of Birth
MM
/
DD
/
YYYY
Website:
What is your PRIMARY instrument? *
Please List All Instrument on which you PERFORM *
Please list all instruments that you TEACH *
A copy of your responses will be emailed to the address you provided.
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