"Music Poetica: Teaching Music through Language and Enhancing Literacy Programs" with Doug Goodkin Workshop Registration Name:_________________________________________________________ Address_______________________________________________________ City/State________________________________ Zip________________ Phone:__(____________)_________________________________________ Email Address:________________________________________________ I. MEMBERSHIP = $110.00 ____ $35.00 for 2009-10 POSA membership (check to POSA) ____ $75.00 for 2009-10 AOSA membership (check to AOSA) (We encourage all participants to join the POSA/AOSA family! POSA is dedicated to its national organization, the American Orff-Schulwerk Association, in its efforts to support local chapters like ours all over the world. Therefore, every year we offer one membership option which includes local and national affiliation. Checks to AOSA must be made out separately. See the AOSA membership form to your right or register on-line at aosa.org). If already an AOSA member indicate here: #__________________ member number II. WORKSHOP FEES Option #1: (check payable to POSA) ____ $55.00 POSA member ____ $95.00 non-member Option #2: with PSU credit (check payable to PSU) (Both workshops this season must be completed to receive one credit from PSU. For this single credit, PSU charges $55.00) ____ $55.00 made out to PSU Sorry.... no refunds for missed workshops. III. BOX LUNCH = $9.00 ________ turkey ________ veggie Send registration and fees to: Brenda McKay 1403 NW Fourth Street Battle Ground, WA 98604 You may also download this registration form at our website: portlandorff.org |
American
Orff-Schulwerk Association Membership Form:
July 1, 2009 - June 30, 2010Regular Member ______ one year $75.00 ______ 3 years $193.00 Student Member ______ one year $35.00 (Regular privileges for full-time student: Please include copy of current student ID) Retired Member ______ one year $50.00 (Regular privileges for those 55 and up & retired) Music Industry ______ one year $105.00 I have added a tax-deductible contribution of $_________________ to support: ______ AOSA Endowment Fund ______ Shield-Gillespie Scholarship Fund ______ Gunild Keetman Assistance Fund ______ Training and Project Fund ______ International Outreach Fund TOTAL DUE: $____________________ Method of payment: _____ check enclosed payable to AOSA _____ Master Card ______ Visa ______ AMEX # __________ : __________ : __________ : _________ Expiration Date:_______________________________ Charge to my account as indicated to be paid accordingly to the current terms of this account. Authorized Signature: _______________________________________________ Name:________________________________________ Address:_____________________________________ City/State:_____________________ Zip___________ Phone:_(_________)____________________________ Email:________________________________________ Check as applicable: ___ music specialist ___ classroom teacher ___ private teacher ___ music therapist ___ student at____________________________ ___ university professor ___ church musician ___ other_________________________________ ___ I do not want to be listed in the directory ___ I do not want my phone # in the directory ___ I do not want my email address listed in the member listing on the website |