CHRISTIAN MUSIC NETWORK MEMBERSHIP FORM


Please fill out information about yourself and answer the following questions.


Would you like to be an active member or an inactive member
Active Member ________
Inactive Member _______


As an active member of the christian music network what would you be interested in doing? ________________________________________________________________


Is there a specific gift God has called you to do that might help CMN? ________________________________________________________________


Would you be interested in holding a specific office? Yes ____ No_____


What office are you interested in holding? (Please mark x if not interested) _______________________ NOT INTERESTED______


What christian music artist or band do you like to listen to? ______________________________________________________


What Styles of christian music do you listen to? ______________________________________________________


What would you like CHRISTIAN MUSIC NETWORK do for you? ________________________________________________________


Tell us how to get in touch with you:

Name___________________________________________

Address__________________________________________

City_____________________________________________

State____________________________________________

Zipcode__________________________________________

E-mail___________________________________________

Phone______________________________________________

Refered by________________________________________

Interested in joining the Piggyback Partners Program. Yes________ No_______