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Milwaukee Area Piano Teachers Association | ||||||||||||||||||
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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 ___________________________ |
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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 |