Page 13 - Northeast In-Sites - The Newsletter of the Northeast Campground Association, Inc. - Number 131, May 2022
P. 13

February 1, 2022


                                                    EXHIBIT  A


                                                Date:

            American Society of Composers Authors and Publishers (ASCAP)
            P.O. Box 331608-7515
            Nashville, TN 37203-9998


                    Re:    Campground Licensing
                           Member Authorization of Northeast Campground Association
                           Account # 500598660
            Dear ASCAP Licensing Bureau:



                                                          , a member of the Northeast Campground Association
            and an owner or operator of the campground known as





            located at
            having read the License Agreement between ASCAP and the Northeast Campground Association
            for the period commencing May 1, 2022 hereby consents and agrees to be licensed under those
            terms and conditions, to submit the reports and payments described therein to the said association,
            so that license fees may be paid for the above campground, and to advise you within thirty (30)
            days if we cease to be a member of said association.


            We realize that upon our termination of membership to the Northeast Campground Association,
            the above campground shall not be entitled to the license fee offered under the association’s
            agreement.


            MY ESTIMATED MUSICAL ENTERTAINMENT BUDGET FOR 2022 IS  $

                    Member Campground to be Licensed:


                    City, State:


                    Signature:

                    Print Name:


                    Title:
                                                                Northeast In-Sites  ~  May 2022  ~ CampNCA.org   13
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