First Name:*

Last Name:*

Email Address:*

Cell Phone:*

Home Phone:

Street:*

City:*

State:*

Zip:*

Instrument(s) taught in the Suzuki Method (for teacher members):

Instrument(s) studied and name of teacher (for parent/associate members):

Name of Program:

Other teaching areas and skills:

Volunteer Interests:

Current member of the Suzuki Association of the Americas:*
YesNo

Membership Type:*
Teacher Member (registered with SAA)Associate Member (parent/other)

Annual Membership Fee:*
Teacher Member (before July 1, 2020): $21Teacher Member (on or after July 1, 2020): $26Associate Member: $11

I plan to attend the Annual Meeting and workshop with Christine Goodner on July 11 via Zoom link. (Additional $15 fee)
YesNo

Donation Amount: (optional)

Total Due:*

Directory Options:*
(For SAA teachers) Please list me on the website teacher directory with a contact form, and include my contact information in the private member directory.Please list me in the private member directory only.Please do not list me in the member directory.

Additional Comments:

I agree to receive correspondence from the Suzuki Association of Indiana. My contact information is not to be shared with any outside entities. I agree to keep all contact information I may receive from fellow teachers for my personal use only.

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