GLOBAL MOBILE ENTERTAINERS ASSOCIATION MAILABLE/FAXABLE APPLICATION FOR MEMBERSHIP

Congratulations! You've made the right decision by joining GMEA. You will be notified by e-mail or telephone when your membership and credit card, personal or business check has been processed. Membership dues are only $122.22 per year. You will not be eligble for or recieve any insurance certificates until a valid GMEA membership number has been issued. To use this form, simply click print on your computer, fill it out, and fax or mail it to the address/phone number below! Your Name: ____________________________________________ Your Company Name: ____________________________________ Your Company Mailing Address: _____________________________________________________ City:_______________________________ State:____________ Zip Code:_________ Business Phone: ( ) ___________________ Cell Phone: ( ) ___________________ Email Address: ___________________________ Website Address: ______________________________________ Home Address: ______________________________________ City:_______________________________ State:____________ Zip Code:_________ Home Phone: ( ) __________________ Number of years in business: ______________ Number of systems: __________________ To access Members-only areas, create a username and password. Please remember that passwords and usernames must be no more than eight characters long, numbers and letters only! GMEA Login Name: _______________________ GMEA Password: _______________________ Confirm Password:_______________________ Membership dues are only $122.22 per year, payable by check, money order or credit card. There will be a $50.00 fee charged for any checks returned to GMEA marked unpaid or NSS. Please make check or money order payable to Global Mobile Entertainers Group, Inc. If mailing, please send your payment and other materials to: Global Mobile Entertainers Association 121 N. Baldwin Street Johnson City, NY 13790 TOLL FREE 1 877 DJ ASSOC In NY: (607) 729-1485 If paying by credit card, please complete the following: Credit Card: _____Visa _____Mastercard _____Discover _____AMEX Card Number: _______________________________ CID: _____ (Three or four digit code on back of card) Expiration Date: ____________________ Name on Card: ______________________ By filling out and sending this application, I hereby agree to conduct myself and my business in a totally professional manner at all times, according to the stated mission and policies of Global Mobile Entertainers Association. Your membership will be automatically renewed next year unless you cancel by registered mail one month prior to your renewal due date. If you decide to not renew your membership, we demand that you cease and desist using our name and/or logo in all of your advertising. All questions and comments should be directed to art@globalmobile.org. All sales are final... no refunds after 24 hours of joining. ____________________________________________ Your Signature __________________________ Today's Date