Membership IMA Form 2024

Illinois Music Association

Membership Application/Renewal
Membership Renewal Fees are due by January 31st, 2024
GENERAL - Two or More Individuals $75

Music Studios, Music Instrument Manufacturers, Music Distributors, Music Publishers
MUSIC TEACHER - An Individual $40

An Individual
Actively engaged in the education of music students
PROFESSIONAL - An Individual $40

Actively engaged in playing a musical instrument or whose principal form of livelihood is in the music field. Music Arranger, Composer, Editor, Publisher, or in Building and Servicing musical instruments.
STUDENT TEACHER - An Individual $20

Membership in the IMA for currently enrolled college students who are actively engaged in the music education of music students.
AFFILIATE - An Individual $20

Not in Music Field, and with no contestants entered in the contest
STUDENT MEMBER - An Individual $10

Any student 17 years old and younger
Please select your category (see descriptions above)*

General (1 Year) - $75Music Teacher (1 Year) - $40Professional (1 Year) - $40Student Teacher (1 Year) - $20Affiliate (1 Year) - $20Student (1 Year) - $10
Name*

First NameLast Name
School or Studio Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Please check if this is an updated email address

Yes
Primary Teaching Field/Instrument*
Other Teaching Fields/ Instruments
Professional Affiliations
Ex. Music Organizations, Orchestras, Music Clubs, etc.
Which of the following would you like published on our website Membership page? *Student members are only listed by name.

NameAddressPhone NumberEmailProfessional AffiliationsPicture (self/ business)All of the aboveI do not wish to have my listing on your website
Send us a picture (optional) *Not for student members

Cancelof
I wish to pay by check (PayPal or Credit Card options are below)

YesNo
Mail check to:

IMA

Emilia Blaszak

3501 N. Natchez Ave.

Chicago, Illinois 60634
My Membership (Choose 1 only)
prevnext( X )
General1 Year
$75.00



Music Teacher 1 Year
$40.00



Professional1 Year
$40.00



Student Teacher1 Year
$20.00



Affiliate1 Year
$20.00



Student Member1 Year
$10.00



Total

$0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Should be Empty:

Illinois Music Association

Membership Renewal Fees are due by January 31st, 2024