Membership Checkout – The Black Music Coalition

Membership Information

You have selected the Affiliate Senior Executive membership level.

The price for membership is £70.00 per Year.

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Email Address

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Full name

Date of birth

Your current role in the music industry?

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What company do you work for?

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How long have you worked in the music industry?

How much do you earn?

What is your ethnicity

Any other ethnic group? Please specify

If your membership is being sponsored / paid by another person or organization, please provide their name:

Please provide their email address?

Please enter your LinkedIn handle?

Today’s date

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