Membership Form

If you would like to become a member submit this membership form and we will contact you. Membership is subject to Board review and approval.

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.

What magician was born in Hungary and died in Detroit? *

This question is to prevent SPAM. If you don't know the answer you can easily google it.

Ann Arbor Magic Club