Consortium Signup

Use this Signup form to send us an email confirming your participation. (* = required field.)





I accept the terms of the agreement posted on David Avshalomov’s Website and commit our organization to participate in his 2012-13 Band Commissioning Consortium.

Please provide:
GROUP NAME*
CITY*
STATE*
CONDUCTOR NAME*, TITLE*
PREFERRED CONTACT EMAIL*
PREFERRED CONTACT PHONE*
CONTACT MAILING ADDRESS*
FEE LEVEL*
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Need W9?

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Comments/Questions
Your Name* (=FROM)
Your Email* (=REPLY TO)

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