Application for Membership
Data For Guild Files
Minimum Age--18 years

Rejoining Member: Yes(  )No(  )
New Member: Yes(  )No(  )
Name: (Dr., Mr., Mrs., Ms.)_________________________________
Street:_____________________________________
City:______________________________________
State:______________________________________
Zip:_______________________________________
Home Phone:(___)___________________________
Work Phone:(___)___________________________
Email Address:_____________________________
Audition Center (or nearest metropolitan area):
___________________________________________

Please complete the above data carefully. Additional information:

Piano study with:__________________________
Where studied and degree (if any):_________
___________________________________________
Number of years teaching piano:____________

I herewith apply for active memebership in the National Guild for 20__, fiscal year ending June 30th, thereof, for which I am enclosing the annual dues of $60.00.

I have read the privileges of Guild members, and I subscribe to the spirit of the Guild's code of ethics as published in the Guild Syllabus.

Signed:____________________________________

Mail to:
National Guild of Piano Teachers
Teacher Division of The American College of Musicians
P.O. Box 1807
Austin, Texas 78767-1807

Rejoining Members:  Please indicate name under which previous membership appeared: _________________

New Members:  I have been referred by: __________

_________________________________________

________________________________ 

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