EAST TENNESSEE SCHOOL BAND AND ORCHESTRA ASSOCIATION
MEMBER REGISTRATION FORM
 
When finished double check your information to be sure it is accurate, click submit, and then print the form.
All levels of membership include full access to the ETSBOA website.
Only Regular Active Members or First Year Teacher Active Members
are allowed to enter students in any ETSBOA events.


Leave Blank Any Field That Does Not Apply To You


 
Personal Information - leave blank any field that does not apply to you

 
NAfME Number Leave Blank if you are not a NAfME member
or do not know your number.
 
 
Level of Membership  
Expiration Date Leave Blank if you are not a NAfME member
or do not know your number.
 
 
First Name
Middle Name
Last Name  
Role
Level that you teach


 
School Information - If not teaching in a school or college, please skip to Home Information

 
School Name
School Address Line 1
School Address Line 2 Leave Blank if not necessary.
School City
School State
School Zip
School Phone


 
Home Information - leave blank any field that does not apply to you

 
Home Address  
Home City
Home State  
Home Zip
Mobile Phone Leave Blank if you do not have one
Home Phone Leave Blank if you do not have one
Primary Email Either your home email or school email. Whichever you prefer.
Secondary Email Leave Blank if you do not have one.
TN District  
Major Instrument


 
Dues
Total Amount:

Register Date:
30 Apr 2017 18:22:39
Penalty Date:
01 Oct 2016 00:00:00

YOU MUST CLICK "SUBMIT" OR YOUR MEMBERSHIP WILL NOT BE REGISTERED!
Print a copy of this form AFTER you click submit and mail it and your check payable to ETSBOA to:

Pete Hodges
108 Alpine Circle
Greeneville, TN 37743

This Form must be submitted by 11:59 p.m. September 30 and the submitted form and check must be postmarked by 11:59 p.m. September 30!!!

You will be charged a $150 late fee for any form submitted and/or postmarked after 11:59 p.m. September 30.
Registration is not final until the form and the check have been received by the Executive Secretary.