MEMBERSHIP QUESTIONNAIRE

COPY & PASTE THIS IN A WORD document_ FILL OUT, PRINT OUT AND BRING TO THE SHOW.



OFFICIAL "LIVE @ THE BURRO" MEMBERSHIP QUESTIONNAIRE



* ARE YOU INVOLVED WITH THE MUSIC INDUSTRY? Y__ N__

* ARE YOU CONSIDERING PLANNING AN EVENT WITH "LIVE @ THE BURRO"? Y__ N___

* WOULD YOU REFER INDUSTRY AFFILIATES TO "LIVE @ THE BURRO"? Y__ N___

WHAT TYPE OF EVENTS WOULD YOU LIKE TO SEE "LIVE @ THE BURRO"



Comment:

With the signing of this questionnaire you are considered an Official Member of "LIVE @ THE BURRO" and you are invited to attend and or use the facility for private events.



Signature (Required)






Print Name (Required)





EMAIL (Required)





Parent or Legal Guardian for those under 18 (Required)