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Membership Application
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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 membership in the National Guild for the 20__ fiscal year, ending June 30th thereof, for which I am enclosing the USA annual dues of $90.00 (Canada & Mexico $100.00; Foreign $115.00).
I have read the privileges of Guild members 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 9469
Austin, Texas 78766-9469
Rejoining Members: Please indicate name under which previous membership appeared: _________________
New Members: I have been referred by: _____________________________________