Membership Application Form

Individual Membership Application

Please fill out this form to apply or renew Texas Flute Society membership or to submit information change.

Memberships apply to the current calendar year (January 1 through December 31st)

Please provide the following information (* required):

Name*

Street Address*

Address (cont.)

City*

State*

ZIP/Postal Code*

Home Phone*

Alternate Phone

E-mail

Please choose one of the following membership options:

    $10.00 Student
    $25.00 Adult / Graduate Student
    $35.00 Sustaining (Sustaining members will receive special recognition in the festival program book)
    $500.00 Lifetime
    Information Change / Update (no charge)

Please choose one of the following update options:

    New Member
    Renewal
    Information Change

For Flute Instructors Only:

If you are a teacher and would like to be included on the Teachers page on our web site, please complete the following:

Teaching Locale (city, district, community):

Student Categories (mark all that apply):

Elementary

Grades 7-9

Grades 10-12

College / University

Adults

Openings Available:

Please print this page and with your payment attached, send it to the address shown below.

Checks should be made payable to Texas Flute Society.

Larry Bailey
2553 Primrose Drive
Richardson, TX 75082

Copyright © 2004 Texas Flute Society. All rights reserved.

Name*
Street Address*
Address (cont.)
City*
State*
ZIP/Postal Code*
Home Phone*
Alternate Phone
E-mail