Membership Form Personal Information First Name *: Last Name *: Home Address *: City, State, Zip Code *: Cell Phone *: Alternate Phone: Email *: School Name *: County *: Principal's Name *: Present Professional Position Music SpecialistChurch MusicianMusic TherapistStudentClassroom TeacherAdministratorUniversity PersonnelIntern Orff Levels Taken Level 1Level 2Level 3Master Class Workshop Areas of Interest SpeechSinging VoiceInstrumentsMovementProcessImprovisation How Would You Like to Get Involved? County LiaisonHospitality/GreetersBoutiquePhotographerChairpersonRegistrationExecutive Board Are you an AOSA member? yesno Membership Type Chapter Membership (includes all workshops) $50.00Are you a first time member?Student Membership (includes all workshops) $20.00Retired Membership (includes all workshops) $20.00 How Would You Like to Pay? Credit Card (secure online payment)Check (to be paid at the first workshop)Cash (to be paid at the first workshop) Please leave this field empty.