Membership Form

Membership Form
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you signing up for a teacher or family membership?
Teacher Membership Information
Instrument(s) You Teach
Towns Where You Teach
School Name You Teach At (if applicable)
Website Link
Would you like your information listed on the website?

Yes EXCEPT (list which info you would like left off)
Family Membership
Child's/children's Instrument(s)
Private Teacher's Name

Payment
For Organization memberships, please reach out directly to admin@suzukima.org for a pricing quote.

Teacher Membership

This is a membership for a Suzuki teacher

$45.00

Family Membership

This is a membership for a Suzuki parent or family

$35.00

Donate $25 to the Carol Sykes fund

$25.00

Total

Teacher Membership Information