2026-2027 ACA Callers Application

Name (please print):(Required)

First Name Last Name

Address(Required)

Street Address City State ZIP

Cell/Home Phone Number(Required)

Other (Optional)

E-Mail(Required)

Signature (Full Name)(Required)

By typing my name above, I confirm this serves as my legal signature.

Date(Required)

These licensing rates include the BMI/ASCAP fee, annual dues, and One Million Dollar Limited Liability Group Insurance Coverage. The Insurance is for individuals only. ACA fees listed are established by the respective BMI/ASCAP Boards. These fees are non- refundable for all or any part of the year and may not be pro-rated for partial year.

Coverage begins April 1, 2026 and ends March 31, 2027

Please circle one:(Required)

50- DANCE EVENTS - per year (OR LESS) $235.00

51-DANCE EVENTS - per year (OR MORE) $276.00

Additional Insurance Policies are available for those venues that require such insurance. The Additional Insurance is $125.00 per location and would need to be requested via email or snail mail with the exact name and address as the facility requires.

Additional Insurance Certificate - $125

Yes

Additional Insurance Policies are available for venues that require special insurance coverage. The cost is $125.00 per location. To issue the insurance, you must provide the exact name and address required by the facility.

Name of the Additional Insurance Applicant

(The exact name the facility requires on the insurance certificate)

Other / Facility Name (if different)

(Optional field if the applicant name and facility name differ)

Full Address

(Street address of the facility requiring the insurance)

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

One Million Dollar Limited Group Liability Insurance coverage while you are performing or teaching dancing.
This is a PACKAGE DEAL and cannot be purchased in part. It includes all licensing, Membership, and Insurance. Fees listed hereon are established by the respective ASCAP/BMI Boards. They are NOT PRO-RATED and NONREFUNDABLE and remain the same for all, or any part of the annual year.

Payment Method:

Online Payment (3% convenience fee applies)

Pay by Check

Your total, including the 3% online convenience fee, will be:

Price: $0.00

You will be redirected to our secure GoDaddy payment page.

Your total, including the 3% online convenience fee, will be:

Price: $0.00

You will be redirected to our secure GoDaddy payment page.

Your total amount due is:

Price: $0.00

Your check must be received no later than 10 days after you submit this application. After submitting this form, you will receive an email with the mailing address and your application details.

Online Payment Convenience Fee

Price: $0.00

Make checks payable to:
AMERICAN CALLERS

c/o Mac Letson
407 Cox Blvd
Sheffield, AL 35660

Office Phone:
256-762-6949

Email:
loulet@aol.com
macletson@outlook.com

Web Page:
www.americancallers.net

Make checks payable to:
AMERICAN CALLERS

c/o Mac Letson
407 Cox Blvd
Sheffield, AL 35660

Office Phone:
256-762-6949

Email:
loulet@aol.com
macletson@outlook.com

Web Page:
www.americancallers.net

If paying by check, the check must be mailed and received within 10 days of the application submission date.

2026-2027 Country/Western Application

COUNTRY/WESTERN

Instructor’s Name(Required)

First Name Last Name

This application will be returned if a dance club or business name is listed.

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell/Home Phone Number(Required)

Other (Optional)

E-Mail(Required)

Fees listed below include BMI/ASCAP fees, Membership, & Group Limited Liability Insurance beginning April 1, 2026 till March 31, 2027 (Covers background music for classes, dances & local exhibitions)

Average No. of different Students or Participants (Weekly) Instructional Use and Dances(Required)

1- 50 ($350.00)

51 - 124 ($560.00)

125-249 ($730.00)

250-374 ($910.00)

375 and over ($1135.00)

Signature (Full Name)(Required)

By typing my name above, I confirm this serves as my legal signature.

Date(Required)

Payment Method:

Online Payment (3% convenience fee applies)

Pay by Check

Your total, including the 3% online convenience fee, will be:

Price: $0.00

You will be redirected to our secure GoDaddy payment page.

Your total amount due is:

Price: $0.00

Your check must be received no later than 10 days after you submit this application. After submitting this form, you will receive an email with the mailing address and your application details.

If paying by check, the check must be mailed and received within 10 days of the application submission date.

Make checks payable to:
AMERICAN CALLERS

c/o Mac Letson
407 Cox Blvd
Sheffield, AL 35660

Office Phone:
256-762-6949

Email:
loulet@aol.com
macletson@outlook.com

Web Page:
www.americancallers.net