Member Registration Form
Please fill out this Member Registration Form for St. Louis AOSA so we can keep our records up to date and serve you through communicating our upcoming workshops.
Last name *
Your answer
First name *
Your answer
Home address *
Your answer
City *
Your answer
State *
Your answer
Zip code *
Your answer
Phone number *
Your answer
Preferred email for correspondance *
Your answer
School
Your answer
School district
Your answer
Name of Curriculum Coordinator for your School District: (format: First & Last Name - leave blank if you don't have one)
Your answer
Email of Curriculum Coordinator for your School District: (leave blank if you don't have one)
Your answer
Highest Level of Orff Levels completed:
Are you a National AOSA Member? (We offer a $10 discount off local dues if you're a National Member. Please bring proof of National membership and a form of payment, cash, check or card, to the August 25th meeting.) National Membership can be found here: http://aosa.org/get-involved/become-a-member/ *
Would you like to be included in our Digital Member Directory? *
Membership Plan desired: *
I understand proof of payment must be provided at arrival prior to attending a Workshop. This may include communication from your District (if they are paying), PayPal confirmation number, or receipt. *
Please visit our website to provide PayPal Payment after submitting this form: http://www.stlaosa.org/workshops/paypal-payments/ *
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