Southern Heritage Music Association Membership Application
Your information will not be sold or given away to a third party.

Please fill out the application completely. Your information helps to improve the results of our website search engine, and your chances of being located by those interested in your work.

SHMA Member Contact Information (It is very important that the following information be complete.)

Individual or Band Name:   Primary Contact Person:

Please tell us what roll you perform in the music industry:
Choose all that apply. (To make multiple choices hold down the "Ctrl" button)

Check All That Apply Band Vocal Artist Instrumental Artist Promoter Agent Radio Personality Musician Songwriter Studio Radio Station Voice Over Talent                          

Address:

Town:   State or Province:   

Zip Code:   Country:

Telephone Number:   Email Address:

Does You or Your Band Have A Website? If So Please List The URL:

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Member Profile Page Preferences

Of the following items please check those you would like listed on your profile on our website:

Mailing Address  Telephone Number  Email Address

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Member Profile Page Details (Non-Performing professionals may skip this section)

Genre:

Please tell us what music genre you or your band performs (check all that apply) :

Bluegrass  Southern Gospel  Sacred  Country Southern Rock  

Period Music  Contemporary Southern Movement  Celtic  Comedy

Performer Type:

Male Female Mixed   Individual Group

Do you or your band perform at any of the following? (check all that apply)

Reenactments  Balls  Concerts  Weddings

Please tell us about the states, regions, and countries where you would be willing to work (Select All That Apply To make multiple choices hold down the "Ctrl" button) :

Southern States: 

Alabama Arizona Arkansas Florida Georgia Kentucky Louisiana Maryland Mississippi Missouri North Carolina Oklahoma South Carolina Texas Virginia including W.Va

Other Regions & Countries: 

Midwest Pacific Northwest West West Coast New England Alaska Hawaii Canada Europe Other

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Profile Text

In addition to the details above your profile page on our website will include information about you or your band, your members, history, and other details. Use the form below to tell us a little about you or your band. Be sure to mention milestones, achievements, and historical information. We request that you provide us with a minimum of two paragraphs or about 200 words, but no more than five paragraphs or about 500 words. We reserve the right to edit text included on our website.

Once your information is added to our data base you will be contacted by email with additional information.

When you are sure you have completed the application click the "submit" but only once. You will be redirected to PayPal (our secure payment processor) to arrange for your membership dues payment.