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Membership Update Form.

If you have moved, changed phone numbers or any of your membership data has changed, please let us know by filling out this Membership Update form.
All Fields Are Required Except Comments Field.
If any one of the fields do not apply to you enter N/A (not applicable) in that field.

	*First Name:
	*Last Name:
	*Address 1:
	Address 2:
	*City:
	*State:
	*Zip:
	*Home Phone:
	Cell Phone:
	Email:
	Website:

Membership Type (Check One): Lifetime Member    Individual Member

Member Profile Check All That Apply (Must Check At Least One)

Personal Rancher Farmer Working Cowboy (Girl) Rodeo Cowboy (Girl) Fan

Performer Actor Musician/Singer Poet Storyteller/Humorist Songwriter/Composer

Media Radio (DJ) TV Newspaper Magazine Author

Production Producer Publisher Talent Agent Recording Studio Artist Management

Any Comments? Enter them here. (This Field Optional)