Membership Checkout – The Black Music Coalition

Membership Information

You have selected the Affiliate Intern, Apprentice or Student membership level.

The price for membership is £25.00 per Year.

Username

Password

Confirm Password

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

Already have an account? Log in here

Full name

Date of birth

Your current role in the music industry?

N/A

What company do you work for?

Please enter your company website

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

Card Number

Expiration Date

CVC

I agree to the Terms and Conditions

Processing…