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.

Contact Information:
Name:
Address:
City:
State:
Zip Code:
Telephone: (area code first)
Email:
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: (area code first)
Email:
Name:
Address:
Telephone: (area code first)
Email:
Musical Associatons:
List other musical associations to which you belong:

Admission to Active or Associate Membership is at the discretion of the Membership Committee.

If you would rather apply for membership by mail and you have Acrobat Reader, print the Application Form and send it to the address below.

If you don't have Acrobat Reader, you can download it for free here:Click here to download Acrobat Reader

Otherwise, you can download the Application Form in .rtf format (can be opened and printed by most word processors) and mail it to one of the addresses below.

Janna Bruene
Membership Chair, NEPTA
7 Bardwell Street #3
Jamaica Plain MA 02130-3124