Membership Form

Name *

Email *

Phone *

Address

Type of Memebership *

Cost of membership is provided for information only. We will provide information on paying for membership once your membership is confirmed.

Membership Card Names *

Please list the name(s) as you would like them to appear on your membership card(s)

IBM Membership Number

Provide if you are an IBM Member

SAM Membership Number

Provide if you are a SAM member

Birthdate

Stage Name

If you use a stage name other than your given name, please provide

Type of Magic You Perform

Give us an idea of the type of magic your perform... closeup, platform, parlor, stage, cards, comedy, etc.

Ann Arbor Magic Club