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 types of membership include full access to the ETSBOA website. Only Regular Active Members, Regular Active Spousal Members, and First Year Teacher Active Members who are directors of a school music program 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.    Type of Membership Please Choose Regular Active Membership - $148.00 First Year Teacher Active Membership - $82.00 Regular Active Spousal Membership - $128.00 Active Membership without NAfME - $15.00 College Student Membership - $48.00 Retired Member with retired NAfME Membership - $64.00 Retired Member without NAfME Membership - $15.00 Honorary Lifetime Member with retired NAfME Membership - $49.00 Honorary Lifetime Member without NAfME Membership - $0.00 Honorary Lifetime Member with Regular NAfME Membership - $133.00   Expiration Date Leave Blank if you are not a NAfME member or do not know your number.    First Name Middle Name Last Name   Role Please Select your primary area Band Orchestra Band AND Orchestra General Music Private Teacher Administrator or Supervisor Retired Level that you teach Please Select your primary area Elementary School Middle School High School College or University Not Applicable   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 Please Choose Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming School Zip School Phone   Home Information - leave blank any field that does not apply to you   Home Address   Home City Home State Please Choose Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming   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 Please Choose Upper Area Middle Area Lower Area Non-Resident   Major Instrument Please Choose Flute Oboe Clarinet Bass Clarinet Bassoon Saxophone Trumpet Horn Trombone Baritone Tuba Percussion Violin Viola Cello Bass   Dues Total Amount: Register Date: 20 Apr 2024 09:43:30 Penalty Date: 22 Sep 2018 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 21 and the submitted form and check must be postmarked by 11:59 p.m. September 21!!! You will be charged a $150 late fee for any form submitted and/or postmarked after 11:59 p.m. September 21. Registration is not final until the form and the check have been received by the Executive Secretary.