Registration Form for School Year 2011-2012

Posted On July 28, 2011

Filed under Membership Form Info

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Since there is no way for us to post a link to a registration form on this blog, we will post the information below.  Please copy & paste onto your word processing document and print it out.  Or, you can email us at: centraljerseyorff@yahoo.com and we can email it to you.  (If you get our newsletter, it will be included in your newsletter as well.)

Pre-registration is not necessary; you can always register when you come to the workshop.  PLEASE DO NOTE E-MAIL THE REGISTRATION.

Central New Jersey American Orff-Schulwerk Association

Registration Form 2011-2012

 Name:______________________________________

E-mail Address:__________________________

Street:_______________________________________________

City:__________________________

State/Zip:_____________________________________________

Phone:________________________

Check if you do not want your address, phone and e-mail listed in our directory:_______

Are you a member of National AOSA?  Yes___________  No_____________

Meeting Classification and Fee Schedule:

Check One

Member Combo Package

___Regular $135 ___Student $45 ___Retired $60 ___already AOSA member $60

Workshop Series Only Package

___Regular $75 ___Student $15 ___Retired $20

 Individual Workshop 

___Sept 17 ___Oct 15 ___Jan 14 ___Feb 11 __March (TBD)

___Regular $20 ___Student $5 ___Retired $10

 METHOD OF PAYMENT

___CASH

___CHECK/MONEY ORDER

___PURCHASE ORDER

WORKSHOP FEE:______________

AMOUNT PAID:_______________

BALANCE DUE:________________

DATE PAYMENT RECEIVED:_______

BY:______________________________

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