Milwaukee Area Piano Teachers Association
                                New Member Registration

Dues are $20.00  Write check payable to MAPTA
Forms received after September 15th will not be included in the directory.
Print and send this form with your dues to: 
Catherine Anwar , Treasurer  8379 N. Grandview Dr. Brown Deer , WI 53223  

 
Please type or print clearly.


Name: _______________________________________________   Phone: ___________________________________         
             
Last                                                              First                                                          Home                                             Work

Address:____________________________________________________ Zip _____________


E mail Address:  _________________________________________ Preferred telephone contact time: _______________


Studio or School: ____________________________________________ Phone: _________________________

Address:  ________________________________________________________________           
                                
====================== Educational Background =======================

School, College, University                                     Degree                                                     Year

_______________________________________    ______________________                         _______________

_______________________________________    ______________________                         _______________

How did you first hear about
MAPTA?  _____________________________________________________________

_____________________________________________________________

What would you like to see featured at future meetings?

________________________________________________________________________________________

________________________________________________________________________________________   
2008


Signature __________________________________________________           Date ___________________________
MAPTA Board
What's MAPTA?
DIRECTORY
You may print this form, fill it out and mail to
Catherine Anwar
8379 N. Grandview Dr.
Brown Deer, WI 53223

If you have any questions,   please contact 
Rebekah Morin  music-lover@wi.rr.com