Membership Application

Your Name*

Your Email*

Contact Phone Number*

*Essential fields

Type of Venue or Organisation**

**dedicated music venue, pub with live music, nightclub with live bands, venue with live electronic music etc.
If you represent a music industry or arts organisation, please answer with the organisation name, e.g. Musicians' Union.
If you are an individual, please answer with Musician, Music Fan, Journalist etc.

Only fill in the remaining fields if you represent a Music Venue

Venue Name

Venue Address

Venue Capacity

Your relationship to the venue (select one)

Venue Website address

Venue Facebook address

Venue Twitter address

Venue Instagram address