ETSB&OA 2019-2020 Member Registration Form
Please read each question and response carefully to ensure you are registering at the correct level of membership and any addition association dues. September 21, 2019 is the deadline for online registration and postmark before late fee penalties will be assessed. If you have any questions, please email Mathew Williams at mathew.williams@gcstn.org.

When finished double check your information to be sure it is accurate. After you have verified your information, click Submit. You will receive a confirmation e-mail with your registration information; return a copy of this e-mail with your payment to:

Mathew Williams - Executive Secretary
1905 Shiloh Road
Greeneville, TN 37745

Check should be made payable to East Tennessee School Band & Orchestra Association (or ETSB&OA).

Only Regular Active Members, Regular Active Spousal Members, and First Year Teacher Active Members who are directors of a school music program are allowed to enter students in any ETSB&OA events.

** NEW **

Please indicate via the last question if you wish to receive an invoice to pay online. You will be responsible for paying any additional fees assessed by the bank for online payment (2.9% of the total plus $0.30).

Leave fields blank that may not apply to you.

Email address *
NAfME number - leave blank if unknown
Your answer
Expiration Date (NAfME number)
Your answer
Type of Membership *
First Name *
Your answer
Middle or Maiden Name
Your answer
Last Name *
Your answer
Role - choose one *
Level that you teach *
School name (leave blank if you do not teach in a school)
Your answer
School Address - Line 1
Your answer
School Address - Line 2
Your answer
School City
Your answer
School State
School Zip
Your answer
School Phone (ex. ***-***-****)
Your answer
Home Address *
Your answer
Home City *
Your answer
Home State *
Home Zip *
Your answer
Mobile Phone - leave blank if you do not have one (ex. ***-***-****)
Your answer
Landline Phone - leave blank if you do not have one (ex. ***-***-****)
Your answer
Primary E-mail *
Your answer
Secondary E-mail - leave blank if you do not have one
Your answer
Region of ETSB&OA *
Major Instrument *
Do you wish to join TBA (Tennessee Bandmasters Association)? If so, you will charged an additional $25.00 in dues which we will forward to TBA. *
Do you wish to receive an invoice to pay online? (You will be responsible for paying 2.9% of your total plus $0.30 - fee charged by bank, not ETSBOA) This will be sent in a separate e-mail. *
A copy of your responses will be emailed to the address you provided.
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