2020-21 LASMTA Membership Application
If you have not paid for your membership, go to www.lasmta.org
First Name *
Last Name *
Cell Phone Number *
Text Notification? *
LAUSD Email *
Primary Email if Retired or Associate Member
Personal Email
Non-LAUSD email
Preferred Email Contact
Clear selection
Do we have your permission to share your preferred email to the Membership List?
If No, your LAUSD email will be listed as your contact email (only for LAUSD teachers)
Clear selection
School Name *
Number of Years @ Current School *
Check all that apply:
Interest and Volunteering
Membership Type *
Membership Categories *
Scholarship Donation Amount (optional)
Goes towards Private Lesson Scholarship and Rupp Scholarship (Senior Music Major)
(Optional) Donation in honor of:
Payment Method *
Submit
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