Membership Application Form

QBA Membership Application / Renewal Form
As a member of the Quebec Band Association you will receive the following benefits:

• An opportunity for you and your students to participate in QBA activities and events

• Reduced admission to QBA concerts, programs and activities

• A membership to the Canadian Band Association including a subscription to Canadian Winds magazine
Is this your first time membership with the QBA?

YesNo
Membership Type:*

Individual Membership ($50.00)Student Membership ($20.00)Retiree/Senior Membership ($20.00)Corporate Membership ($75.00)Community Band Membership ($75.00)
Name*

First NameLast Name
School / Company / Band*
Address*

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry
E-mail*
Telephone*

Area CodePhone Number
The CBA is encouraging all members to receive the Canadian Winds Journal electronically, for both environmental and financial reasons. Please contact the QBA if you have any questions or concerns.*

I agree to receive the Canadian Winds Journal electronically at the email address I have provided.
To complete your application for membership, please complete the online payment (below), or provide a cheque, payable to "Quebec Band Association" to the following address:

Quebec Band Association

4043 rue Joseph

Verdun, QC, H4G 1J5

You will receive confirmation by email of your membership with the QBA once payment is received.
Membership Payment Options:*
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Individual Membership$50.00CAD

Student Membership$20.00CAD

Retiree/Senior Membership$20.00CAD

Community Band Membership$75.00CAD

Corporate Membership$75.00CAD

SENDING PAYMENT BY CHEQUE$ FreeCAD
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QBA Membership Application / Renewal Form