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*

How many original live music events does your venue put on each year?
(This excludes tribute bands, open mic nights, background live music, and electronic music that is not original and mixed live)

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