Membership Application

Your Name*

Your Email*

Contact Phone Number*

Type of Venue**

**dedicated music venue, pub with live music, nightclub with live bands, venue with live electronic music etc.

Venue Name*

Venue Capacity*

Venue Address:

Street*

Town*

Post Code*

Your relationship to the venue (select one)

Venue Website address*

Venue Facebook address*

Venue Twitter address

Venue Instagram address

*Essential fields