CIRAA - Member/Band Registration

Please Note: Please Note: Registration is a 1-step process for Artists/Industry Members and a 2-step process for Bands/Groups.
All fields marked in red with a ^* below are mandatory for registration!

STEP I - Register as a Member or Band

1 ARTIST/BAND INFORMATION

A. Mandatory Info Note: Registration as an industry member does not require Artist Name or Music Genre.
*Band/Artist: *Music Genre:
*Member(s): ? Select Industry Member if you are not an artist. Select Solo Artist or conversely the # of Band Members in your band. If there are mulitple members in your band you will be asked to register all of the Band Members after you have registered.
*First Name: *Last Name:
*Password: *Verify Password:

B. Voluntary Music Info Please select below the musical instruments that you play if any.
Instrument 1: Instrument 2: Instrument 3:

2 EMAIL CORRESPONDENCE

A. Mandatory Email Options *E-mail Address:
Would you like to receive our E-Newsletter?
Yes
No
Do you give permission for us to share your email address with carefully selected, business partners so that you may receive targetted information, contests, and offerings?
Yes
No

3 PERSONAL INFORMATION

A. Voluntary Personal Info Age Range: Gender: Marital Status:
Education: Employment: Income:

B. Voluntary Contact Information Address: Apartment/Suite:
Zip / Postal Code:
Telephone #: Extension #

C. Mandatory Contact Information *City: *Province:
*Country:

4 REGISTRATION

To submit your application to become a Member, just click on the "Register" button below. To view our privacy policy regarding collection of your personal information click here.