Please complete this simple survey at any time to let ACMP know which ACMP promotional materials you would like us to to mail you - and where! Encouraging ACMP membership is a requirement of ACMP grants, so please provide this information as quickly as possible.

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* 1. Name of individual

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* 2. Name of organization, if applicable

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* 3. Email address of contact person

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* 4. Start date for your program

Date

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* 5. Number of ACMP promotional postcards you will need for your Play-In, workshop or community music program participants. Enter 0 if you are not ordering postcards.

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* 6. If you are holding a Play-In, Just Play Concert or short workshop, would you like us to send you ACMP Name Tags? There are 8 on a sheet. How many sheets would you like us to send you? Enter 0 if you are not ordering name tags.

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* 7. Complete mailing address where we can mail the postcards and/or name tags. Please make sure it is an address where you can receive mail within 2 weeks of filling out this survey.

Thank you, and best wishes for a successful event!

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