CSA MEMBERSHIP APPLICATION  (click here to return to CSA HOME)

Do Not fill this out on line. Print this form, fill it out, and  and mail along with your membership dues to CSA,  PO Box 511, Mystic CT 06355 .  You may use the back side for additional information.     (CSA does not share your information with any other organization.)

 Name____________________________________________  Today's date:_________________

Street/Apt: _______________________________________   Date of Birth   _______________

City ___________________________________ State ________________ Zip _______________

Home Phone _____________________________________   Work Phone ___________________

Occupation: _____________________________________  Employer: ______________________

E-mail (required  for free newsletter) __________________________________________________

Check all that apply to you:    I write primarily for pursuit of:         ____ Self-expression        ____Commercial  success

___published songwriter   ____lyricist    ___composer    _____full time performer

____ part-time performer   _____vocalist   _____ solo performer   ____ group  performer  

_____have a home studio  (How many tracks,  what hardware/software?)     _____Mac   _____PC

______ willing to collaborate    Preferred musical style(s) ____________________________________________

What instrument(s) do you play? _______________________________________________________________

How did you hear about CSA ? _______________________________________________________________

What made you decide to join? _______________________________________________________________

Membership category:

___ 1 year ($45)     ___ 2 years ($75) -save $50       ___ 3 years ($99)  save $36

___ Student, under 19 yrs of age  ($40)                 ___ Senior Citizen, 65 or over  ($40)

Membership includes free subscription to the electronic newsletter CT Songsmith,  free use of the e-group CT Songs Cafe, and free or discounted admission to CSA events.   NOTE:  For a monthly paper copy of the newsletter, add $10. (We recommend that you just print the free on-line version)

CSA programs combine arts, education and community outreach.  Our community outreach program through LUNCH (Local United Network to Combat Hunger) uses the power of popular music to produce positive social action, involving kids and adults in shows to raise money to combat hunger at poverty in Connecticut.  If you would like to make a tax-deductible contribution, you may do so here and join thousands of other individuals and businesses who are helping to make a difference in the lives of others .  Enclosed is my tax-deductible donation of  $___________

Check or Money Order may be made out to CSA.  

Mail to:  CSA PO Box 511, Mystic CT 06355.           Welcome to the CSA community !