Registration

CHOOSE Membership Plan:

ASSOCIATE Membership

Open to anyone, ASSOCIATE Level Membership entitles you to exclusive benefits and discounts available to ALL LAWIM MEMBERS. ASSOCIATE Members receive a basic listing in our Online Directory (visible to LAWIM Members only.)

1 year for $50.00, then $40.00 per year.

PROFESSIONAL Membership

VOTING LEVEL MEMBERSHIP - You must QUALIFY and be APPROVED per application. PRO Level Membership entitles you to exclusive benefits and discounts available to ALL LAWIM MEMBERS + additional benefits for PRO MEMBERS ONLY. In addition to the basic lisitng, you will be included in our publicly searchable online directory with options for photo, contact info, and links to your website and social media pages.

1 year for $75.00, then $65.00 per year.

Professional Name:

[name]

Associate Professional Name:

[name]

Legal First Name:

Legal Last Name:

Username:

Password:

Verify Password:

Email for LAWiM Member Services Use (non-published):

Directory Email :

Directory Phone:

Mailing Street (non-published):

Apt/Unit #:

City:

State:

Zip Code:

Phone for LAWIM Member Services Use (non-published):

Extension:

How were you referred to us?:

Referral Details:

Please check if you are interested in VOLUNTEERING for LAWIM:

Company Name:

Title/Position:

Address:

City, State, ZIP:

Business Phone:

Business Fax:

You must QUALIFY for PRO Level (check ALL that apply):

Other Industry Organization Affiliation (please list):

Writer or Publisher with commercially released works/publications:

ASCAP

BMI

SESAC

Check here if you or your company are a member of NAMM:

Check here if you are using 2 years employment with music industry related company to qualify for PRO level:

Date of Birth:

Parent/Guardian Name (required if UNDER 18 years of age):

Parent/Guardian Contact Phone (required if UNDER 18 years of age):

Parent/Guardian Email (required if UNDER 18 years of age):

Professional Name:

Instruments:

Other Instrument:

Service/Occupation:

Other Service/Occupation:

Primary Website:

MySpace:

LinkedIn Public Profile:

Twitter Page:

Facebook Page:

Other Site:

Additional Info:

Check if you DO NOT want to be listed in the online directory!:

I hereby certify that all information provided in this application is true and correct to the best of my knowledge.:

PRIMARY AREA OF FOCUS:

Website:

Check if you DO NOT want to be listed in the online directory:

I hereby certify that all information provided in this application is true and correct to the best of my knowledge.:

AES (full member status)	AFTRA
AGMA	AIMP (pro level or higher)
SAG (with music credits)	AFM
NARAS (voting or associate level)	NATS
SCL (full or gold level)	Other PRO Industry Organization (please list below)
None of the these (you MUST continue below)

Bass	Cello	Clarinet
Drums	Flute	Guitar
Harmonica	Harp	Keyboards
Oboe	Organ	Percussion
Piano	Sax	Trombone
Trumpet	Violin	Voice
Brass family	String family	Woodwind family

A&R/Record Label	Accompanist
Accounting/Financial	Agent
Arranger	Artist Management
Author	Attorney/Legal
Choreographer	Composer
Contractor	Duplication/Replication
Instrument Lessons	Live Sound Reinforcement
Marketing & PR	Mastering Engineer
Mix Engineer	Multimedia
Music Editor	Music Educator
Music Supervisor	Musical Director
Musician	Photo/Video
Performing Artist	Performance Coach
Press/Publications	Producer
Publishing	Recording Artist
Recording Studio Services	Retail/Wholesale
Session Singer	Singer-Songwriter
Songwriter	Studio Musician
TV/Film Services	Vocalist
Vocal Coaching/Lessons	Voice-over

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	LinkedIn Profile		LAWIM Channel

Why Join?