Business Membership Application


Company Name __________________________________________________
Contact Name __________________________________________________
Address __________________________________________________
City __________________________________________________
State / Province __________________________________________________
Postal Code __________________________________________________
Country __________________________________________________
Telephone with Area Code __________________________________________________
E-mail Address __________________________________________________
Web Address  http://______________________________________________
Short Company Profile ___________________________________________________
___________________________________________________
___________________________________________________
Type of Product association
agency
attorney
club
college
conference
creative services
distributor
festival
film / TV
gear / equipment

high school
magazine
manager
merchandiser
newspaper
 

nightclub
press
producer / engineer
promoter
publisher
radio station
publicist
record label
record retailer
recording studio
roadie
tape / disk
television show
television station
venue
web
other

 

Return this form, with $100 processing fee.
Undercurrents, Box 94040, Cleveland, OH  44101

Copyright 1989-2008     Undercurrents, Inc. 

All Rights Reserved.
Last revised: December 22, 2007