Membership Renewal, Update and Payment Existing Member

Please use this form to update your membership information and pay the annual dues. Please enter your name and any information that has changed from the prior years membership information.

Name

Name of person filling out form if different from member

Membership

Select Your Membership Level

	Regular Member	$80.00
	Retired Member...age 65 or older ten years as a regular dues paying member	$45.00
	Student member enrolled in a full time, accredited undergraduate or graduate program	$45.00
	ACC / CA members who want to also be GTM members	$45.00

Other Amount. If you have made prior arrangements with GTM please enter the other amount $

We welcome all donations in addition to your membership. Please enter the amount of your donation here. It will be added to your total. $

Reason for Additional Donation

Contact Info

Preferred Email Address

Preffered Phone Number

Phone Type

Mailing Address

Address Line 2

City

State

Zip

Country (if non-US)

The Guild of Temple Musicians is always looking for volunteers to assist in its work. If you are interested and have experience in such areas as accounting, convention planning, database management, non for profit board work, etc., please indicate

Recurring Payments?

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

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