Washington Area
Music Association
6263 Occoquan Forest Drive
Manassas, VA 20112
(202)338-1134
(703)393-1028 FAX
dcmusic@wamadc.com


Application for WAMA Bar Codes

For WAMA Members Only
The applying artist must be a current or pending WAMA member to
receive a bar code (membership has a separate charge and application).

To order a Bar Code please provide the following information:


ARTIST NAME: ________________________________________________

ALBUM TITLE: ________________________________________________

RECORD CO. (if applicable):
________________________________________________

RELEASE No. (if applicable): _______________________________________________

FORMAT: (CD, Cassette, Vinyl, Video) _______________________________________


MEMBER NAME: _________________________________________

MEMBER #: ___________



MAIL BAR CODE TO:

NAME: ___________________________________________________

ADDRESS: ________________________________________________

CITY / STATE / ZIP:__________________________________________

PHONE(S): _________________________________________________

EMAIL (Additional $5):[   ]     DOS Floppy Disk (Additional 7.50):[    ]

ENCLOSED PAYMENT AMOUNT: $___________


Payment may be made by credit card (Visa or Mastercard):

CARD NUMBER: ____________________________________________
EXP. DATE: m_____|y______

C.V.V. Code: (Last 3 digits on signature line on back of card)

SIGNATURE:________________________________________________

_________________________________________________________
Name on Credit Card

Print this form and fax to: 703-393-1028
Or copy the contents and paste into an email to: dcmusic@wamadc.com
Or mail it with your membership application to:
WAMA, 6263 Occoquan Forest Drive, Manassas, VA 20112