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Name of Organization
Street Address
Address (cont.)
City
State
Zip
Phone
Fax
Web Address
E-mail
Name of President
Address
City
State
Zip
Name of Administrator
Title
Is this organization affiliated with a national organization ?
Yes or
No
If Yes, which national organization are you affiliated with?
Name of performance group
Name of conductor/director
Kind of performance Group
Check all that apply
Amateur
Semi-Professional
Professional
Audition Required
No audition required
Male
Female
Mixed
Music Industry / Retail
Store
Age range
Enrollment fee for membership:
yes
no
Rehearsal times (day/month/hour)
Prerequisites for membership
Season dates - from to
Description of group: (Please describe in 100 words or less)
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