2022 Annual Membership Form: Suzuki Association of Indiana

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Please complete this form to register or renew your membership in the Suzuki Association of Indiana for the member year beginning July 1, 2022 and ending June 30, 2023. After submitting this form, please use the Donate button on the indianasuzuki.org website or go to paypal.me/indianasuzuki to pay your fees. Thank you for being a part of our Suzuki community!

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メールアドレス *

First Name: *

Last Name: *

Cell Phone: *

Home Phone:

Street: *

City: *

State: *

Zip: *

Instrument(s) taught in the Suzuki Method (for teacher members):

Instrument(s) studied and name of teacher (for parent/associate members):

Name of Program:

Other teaching areas and skills:

Volunteer Interests:

Current member of the Suzuki Association of the Americas (SAA): *

Yes

SAI Membership Type *

Teacher Member (registered with SAA)

Associate Member (parent/other)

Annual Membership Fee: *

Teacher Member (before July 1, 2022): $21

Teacher Member (on or after July 1, 2022): $26

Associate Member: $11

Annual Meeting, July 9, 2022: I plan to attend the Annual Meeting and workshop with Bridget Jankowski on July 9 via Zoom link. (Add $15 fee)

Yes

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Donation Amount: (optional)

Total Amount Due: *

Directory Options: *

For SAA teachers: Please list me on the website teacher directory with a contact form, and include my contact information in the private member directory.

Please list me in the private member directory only.

Additional Comments:

I agree to receive correspondence from the Suzuki Association of Indiana. My contact information is not to be shared with any outside entities. I agree to keep all contact information I may receive in this association for my personal use only. *

Agree

必須

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