MORNINGTON PENINSULA MUSIC NETWORK (MPMN) ONLINE MEMBERSHIP FORM TEMPLATE Please enable JavaScript in your browser to complete this form.I wish to join/renew my membership of Mornington Peninsula Music Network (MPMN).I support the aims and purposes of MPMN and agree to comply with the Networks Constitution and Rules. *YesNoClick here to download.My full name is: *FirstLastMy postal or venue address is: *My e-mail address is: *I agree to receive notices and member communications by e-mailMy telephone number is: My company or association name is:Registered number or ABN:Are you of Aboriginal or Torres Strait Islander Origin: *NoYesGender identity: *MaleFemaleNon BinaryPrefer not to discloseDo you identify as Culturally and Linguistically Diverse: *NoYesAge range: *13 - 1819 - 2425 - 3031 - 4041 - 5051 - 6566 - overPrefer not to discloseCATEGORY OF MEMBERSHIPMusician MemberMusician MemberMusic Industry Professional:Audio EngineerEvent ManagementPromoterA & RTeacherMediaRoadieStage managerOther performing artsNot-For-ProfitAgencyLawJournalismTherapyOther (please specify)Please SpecifyMusic Venue MemberMusic Venue MemberSupporter MemberSupporter MemberA Supporter Member is a person not currently active in the music industry but who is prepared to contribute on a voluntary basis to the purposes and activities of MPMN. Associate MemberAssociate MemberAssociate membership is available to music lovers/supporters who do not fall into any of the other categories of membership. It is a non-voting category but enjoys all other benefits of membership.Any other details about me I wish to share CONFIRMED (Your Signature): *Clear SignatureCheckboxes *I have read and understand the terms of the privacy policy.Our Privacy PolicySubmit
