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Membership Application

Apply for membership online with the form below. It will be submitted to the Membership Committee. You will be notified of acceptance after your application has been considered. All fields are required.






Contact Information

Name

Address

City

State

Zipcode

Telephone

Email (required)


Musical Education

Degree or Diploma

Institution

Major

Piano Teachers


Teaching Experience

Describe such factors as years of teaching, approximate number of students, levels of advancement of students:


Recommendations

List two professional musicians who could recommend your work:

Name

Address

Telephone

Email

Name of second reference

Address

Telephone

Email


Musical Associations

List other musical associations to which you belong


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