Milwaukee Music Teachers Association
APPLICATION FOR MEMBERSHIP
Anyone interested and willing to give support to musical activities in the greater Milwaukee area may make application for membership.
Membership desired: (check one) _________ Active _______Associate
I am actively engaged in teaching in the greater Milwaukee area ___ Yes ___ No
Primary teaching area: ___Piano ___ Organ ___ Voice ___ Strings
Secondary area if applicable, check one ___ Piano ___ Organ ___ Voice ___ Strings
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Print name as desired in the Membership Directory
Name: ___________________________________ Phone: ____________________
Address: _____________________________________________________________
City__________________________ Zip: ___________ Email: __________________________
Married ___Yes ___ No Spouse’s name: _____________________________
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Membership recommended by: _______________________________________
MMTA member signature necessary
Send this application form with $15.00 initiation fee and $25.00 Membership dues to:
Judith Heise
N90 W16819 Roosevelt Dr.
Menomonee Falls, WI 53051
E mail: heisejudith@yahoo.com
(Please make $40 check payable to MMTA)
Please attach a brief resume of your music education and teaching experience to this form.
I hereby make application for membership in the Milwaukee Music Teachers Association, Inc.
Signature _________________________________________________ Date __________________
You may print this form and mail it in.