2021-22 Orange County Chapter of the AOSA

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Application for General Membership

Email *

Last Name *

First Name *

Please Enter Your Cell Number *

Alternate Phone Number

Mailing Address (street address) *

Mailing Address (apt/suite/unit)

Mailing Address (city) *

Mailing Address (state) *

Mailing Address (zip code) *

Preferred Email Address *

Are you a member of AOSA (National)? *

Yes

Select your membership level (If you work in a district that currently has a district membership, please skip this question): *

Active Member $80

Retired (55yrs+) $50

Access to all workshops for Full-time Student $30

Individual School Membership $125 (allows any 2 teachers to attend)

District Membership $700 (all teachers of the District may attend all workshops)

Single Workshop $50

Single Workshop (reciprocal member) $10

Single Workshop for Full-time Student $10

Required

Name of Current School District:

Are you a first time member to our chapter?

Yes

Clear selection

Are you a member of another chapter? If so, which one?

Do you consent to having your image and/or voice recorded at workshops? *

Yes

What best describes your role in teaching? (music teacher, administrator, classroom teacher, parent, etc...) *

How would you like to pay for your membership? You will receive an invoice at the email address you provided *

PayPal

I will pay by check and mail payment to OC Orff Treasurer (invoice and payment info will be sent via email)

My district has a membership

How would you like to receiver your workshop calendar/flyer? *

email me a flyer using the email address provided above

mail me a flyer through the U.S. Postal Service using the street address provided above

Submit

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