Provisional Membership Application

Please complete all sections on this form. If you have any questions please contact [email protected]

Provisional Members are not allowed to put themselves forward for election to the MPA Board or vote at the AGM.

Proposed Company / Trading Name*

(The MPA would need to be satisfied that you are not already trading as a music publisher in order to accept your provisional membership application).

Personal Details

Please complete all sections (in BLOCK CAPITALS) and return this form and the annual Provisional Member subscription fee of £60 + VAT or confirmation of BACS transfer to the Music Publishers Association (MPA). Please note ALL MPA Subscriptions run from 1 January to 31st December.

Name

First Last

Address*

Street Address City ZIP / Postal Code Country

Phone*

Website

Email*

Twitter Handle:

Instagram

Your Story: please give us a brief outline of your experience in the music industry and your aspirations for starting a music publishing company (Minimum words 250)*

Genre of Music*

Music Publishers Association

MPA Provisional Membership

Step 1 of 3

Personal Details

Payment Methods