Please print this page from your web browser, fill out the form below, and mail it to the address below with a check or money order made payable to "TI:ME".
(Disclaimer: Information collected by TI:ME will be used solely by TI:ME and
its members, and will not be provided to other third parties. Personal information
will only be used in the aggregate for internal TI:ME statistical analysis;
quotes regarding your reason for joining TI:ME will not be used without your
permission.)
TI:ME
3300 Washtenaw Ave., Ste 220
Ann Arbor MI 48104
| Select Your Membership Type: | ||
|
Individual | $40.00 |
|
Institutional/Commercial | $250.00 |
|
Student | $20.00 |
|
Library | $30.00 |
________________________________________________ Name: Prefix, First, Last, Suffix ________________________________________________ Mailing Address: Street, Apt# ________________________________________________ City, State, Country, and Zip or Postal Code Phone: Work________ Home________ Mobile________ Fax: Work________ Home________ email at home:__________________________________ email at work:__________________________________ Preferred contact method: email__ Fax__ Mail__ Website: ________________________________________ If student, at what level: Middle School__ High School__ College__ Graduate School__ ________________________________________________ School/Company Name Job Title:______________________________________ Your Educator Level or Company's Concentration: Elementary__ Middle School__ High School__ College__ Graduate School__ Your Company's Industry:________________________ Type: Public Music Educator__ Private Music Educator__ Music Ed Supporter__ Teaching Area: Band__ Choral__ General Music__ Voice__ Guitar__ History__ Theory__ Jazz__ Composition__ Orchestra__ Keyboard__ Other__ Does your school have a music lab: Yes__ No__ If yes: how many computers__ keyboards__ guitars__ Are you a member of other music educator professional organizations? Please check all that apply: ATMI__ MENC__ NAMM__ MTNA__ ACDA__ Other_________ I was referred to TI:ME by: Colleague or TI:ME member_______________________ TI:ME Web Site__ State MEA Conference__ Summer Course__ TI:ME Newsletter__ TI:ME Advertisement in:________________________ Other:_________________________________________ I joined TI:ME because: _______________________________________________ _______________________________________________.
