Houston Professional
Musicians' Association Local 65-699
P.O. Box 8748
Houston, Texas 77249
(713) 236-8676
March 5, 2021
About Us
Why Join?
Benefits
Newsletter
Pay Online
Members Only
Login
About Us
Why Join?
Benefits
Newsletter
Pay Online
Members Only
APPLICATION FOR MEMBERSHIP IN THE UNITED STATES
Thank you for showing interest in this site. Fill out the form below. Once submitted you should receive an confirmation email.
Parent Information
First you'll need to fill out the form with your information. Click
Create Account
and then you'll be able to create an account for each child.
*
Include email
You're information is already stored. We've gone ahead and filled in your contact information.
To continue complete the captcha and click
Submit
*
Include first name
*
Include last name
*
Must include a username
Have detected an incorrect character or space.
accepted characters (alpha numeric . _ $ -)
Sorry this username already exists.
You'll need to come up with another one.
*
Must include a password
*
*
*
*
US
other
*
select state
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
*
Required
How long at current address?
Previous Address:
Required
U.S. Citizen?
If not, what type of Visa?
Required
Closest relative [or other person who will always know your address] not living with you:
Name:
Address:
Required
Other Locals
Are you currently an AFM member? If so, Local number? How and when was membership terminated?
Required
Instruments
Required
Are you currently a member of a musical group
Name of musical group?
Required
Name of any personal manager(s) or booking agent(s) with whom you have any agreements:
type above image
Submit
Must agree to terms
I agree to terms
Membership Obligation
I pledge to abide by all Rules, Regulations, and Bylaws of the AFM and the Local stated above. I agree to pay all
dues and assessments (including work dues on all musical services performed) required by those Bylaws. I
further agree to complete any orientation or indoctrination required by that Local within the time specified by its
Bylaws. I authorize the American Federation of Musicians and the above-named Local to act as my collective
bargaining representative with full power to execute collective bargaining agreements with employers governing
terms and conditions of employment.
I further authorize the AFM, in the name of the AFM or in my name, to do all acts, initiate all proceedings,
execute, acknowledge and deliver any and all documents and pleadings, litigate, collect and receive money, and,
in the AFM’s sole judgment, join me as a party plaintiff or defendant in suits or proceedings, or to bring suit in
my name or the AFM’s name, in respect of any AFM collectively negotiated agreement or any statutory royalty or
remuneration payment to which I may be entitled under the laws of the United States or other countries or under
international law or treaties. I authorize the AFM to offset from any royalties and remunerations collected the
reasonable expenses of collecting, administering and distributing those royalties and remunerations.
I also understand that, when the Federation receives any residual payments for a new use of a musical product,
the Federation will deposit those monies into a separate interest-bearing account and then will attempt to identify
and locate the musicians to whom the payments are due and to distribute those payments to them. In the event
that I cannot be identified and located, and I do not file a claim for payment with the Federation within three
years after the Federation receives the payment, I authorize the Federation thereafter to transfer the monies due
to me to the general treasury to be used to defray the costs of administering and operating the Federation;
provided, however, that at any subsequent point I may file a written claim with the Federation and, upon doing
so, I shall be entitled to receive the residual payment to which I am entitled (without interest and offset by the
applicable Federation work dues) unless the State is then holding the residual payment I am due, in which case I
shall apply to the State for my payment.
Signature_______________________________________________Date______________________________
Work Dues Check-Off Authorization (U.S.)
I hereby voluntarily authorize and direct any party who engages my musical services to deduct from my
compensation for those services the uniformly required dues or fees based on earnings, including work dues
and/or agency or service fees, as set forth in the Bylaws of the American Federation of Musicians of the United
States and Canada (Federation Work Dues) and/or the dues or fees based on earnings including work dues
and/or agency fees, as set forth in the Constitution and/or Bylaws of the Local Union hereof having jurisdiction
over these services (Local Union Work Dues). I further authorize, and direct, each such party who engages my
musical services to remit promptly all Work Dues thus deducted to the Federation or the appropriate Local Union
thereof in accordance with the applicable regulations, and at the times specified in those regulations. Where the
payment of either dues or agency or service fees is lawfully required as a condition of employment, said
deductions shall be made irrespective of my membership in the Federation and/or the Local Union thereof. This
authorization shall be irrevocable for a period of one (1) year from the date hereof or, with respect to any
employer having a collective bargaining agreement, until the termination date of the current collective bargaining
agreement, whichever occurs sooner. This authorization shall automatically renew itself and be irrevocable for
successive annual periods unless I give written notice to the Federation and those Local Unions of which I am a
member within the fifteen (15) day period following the expiration of any such annual period or, with respect to
any employer having a collective bargaining agreement, within the fifteen (15) day period following the
termination date of any such collective bargaining agreement.
Signature_________________________________________________ Date___________________________
Note: Dues, contributions or gifts to the American Federation of Musicians are not tax deductible as charitable
contributions. However, they may be tax deductible as ordinary and necessary business expenses.
Local Officer Approval __________________________________________________Date _____________________
AFM app.pdf 2
Congrats!
It looks like you're already a member of this studio. You don't need to do anything else. If you think this is incorrect contact the owner of this site.
Try another email
Processing.