Local 99 Membership Application

To join Local 99, start by filling out our application below. After that, contact the Local 99 office and let us know how many quarters of dues you’d like to pay to start—you can pay by phone or mail, or we can send you a link to pay online. You are required to pay Local 99 and Federation initiation fees, and at least two quarters of membership dues.

You can also download the application, and either email it to our office, or mail it to: AFM Local 99, 325 NE 20th Ave, Portland, OR 97232

Our website is aligned with up-to-date security measures, and our online application will transmit your information to our staff securely.

Membership Application

Step 1 of 3

Name(Required)

First Middle Last

Pronouns

Professional Name

Email(Required)

Enter Email Confirm Email

Choose a password:(Required)

Enter Password Confirm Password

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Address(Required)

Street Address City State ZIP Code

How long at current address?

Phone (Home, Principal)

Phone (Work, Message)

Phone (Cell)

Website

Date of Birth(Required)

Social Security #(Required)

Gender

Closest Relative (or other person who will always know your address) not living with you:

Name

First Last

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Their Phone:

Are you currently an AFM member?(Required)

Yes

Which Local? (#)

Have you ever been a member of any Local of the AFM?(Required)

Yes

Which Local(s)?

How was membership terminated?

When was membership terminated?

Are you currently a member of a musical group or Orchestra?

Yes

Name of the group(s)

Name any personal manager(s) or booking agent(s) with whom you have any agreements:

I have read and agree with the Membership Obligation below.(Required)

I agree

I pledge to abide by all Rules, Regulations, and Bylaws of the AFM and Local 99 stated above. I agree to pay all dues and assessments (including work dues on all musical services performed) required by those Bylaws. I further agree to complete any orientation or indoctrination required by Local 99 within the time specified by its Bylaws. I authorize the American Federation of Musicians and Local 99 to act as my collective bargaining representative with full power to execute collective bargaining agreements with employers governing terms and conditions of employment.

I further authorize the AFM, in the name of the AFM or in my name, to do all acts, initiate all proceedings, execute, acknowledge and deliver any and all documents and pleadings, litigate, collect and receive money, and, in the AFM’s sole judgment, join me as a party plaintiff or defendant in suits or proceedings, or to bring suit in my name or the AFM’s name, in respect of any AFM collectively negotiated agreement or any statutory royalty or remuneration payment to which I may be entitled under the laws of the United States or other countries or under international law or treaties. I authorize the AFM to offset from any royalties and remunerations collected the reasonable expenses of collecting, administering and distributing those royalties and remunerations.

I also understand that, when the Federation receives any residual payments for a new use of a musical product, the Federation will deposit those monies into a separate interest-bearing account and then will attempt to identify and locate the musicians to whom the payments are due and to distribute those payments to them. In the event that I cannot be identified and located, and I do not file a claim for payment with the Federation within three years after the Federation receives the payment, I authorize the Federation thereafter to transfer the monies due to me to the general treasury to be used to defray the costs of administering and operating the Federation; provided, however, that at any subsequent point I may file a written claim with the Federation and, upon doing so, I shall be entitled to receive the residual payment to which I am entitled (without interest and offset by the applicable Federation work dues) unless the State is then holding the residual payment I am due, in which case I shall apply to the State for my payment.

Signature(Required)

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Membership Application

Closest Relative (or other person who will always know your address) not living with you:

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