ONLINE MEMBERSHIP APPLICATION

The American Viola Society (AVS) was founded for the promotion of viola performance and research. AVS membership includes two print issues of the Journal of the American Viola Society, published in November and March, and an online-only issue released in July. Your personal and financial support through AVS membership is appreciated!

Join the AVS today or renew you membership by completing this online application, payable with your Visa, MasterCard or American Express. If you are a student, use your permanent home address.

YOUR INFORMATION
	New Member   Renewal    Change of Address
First Name:		Home Phone:
Last Name:		Work Phone:
Address:		Fax:
City:		Email:
State/Province:		Website:
Zip/Postal Code:
Country:

AFFILIATIONS (Select all that apply)
University Professor	School Teacher	Library/Institution
Professional Orchestra	Music Business	Amateur/Hobbyist
Professional Chamber	Studio Teacher	Retired
Freelance/Independent	Student	Other (please specify):

From time to time, the AVS makes its mailing list available for other viola/music-related mailings. If you do not wish to receive these mailings, check this box.
NATIONAL TEACHER DIRECTORY INFORMATION The AVS National Teacher Directory is published each year in both print and online formats as a resource for parents and students. The online version includes only the teacher's name, telephone number, and email address, as well as teaching and affiliation information.
Levels of instruction (check all that apply):	Beginner Intermediate Advanced College/University Professional
Specialization(s) (check all that apply):	Suzuki Instruction Professional Tune-Ups Chamber Music Orchestral Audition Preparation Popular/Folk Styles Other (please specify):
Affiliation(s) (check all that apply):	Private Studio   Public School Teacher   Community Music School: College or University:   School website:
Do you wish to be included in the online directory?	Yes    No

NATIONAL DUES (Select one level)
	$48 Regular
	$21 Full-time Student
	$63 Joint AVS/Canadian (includes both JAVS and CVS newsletter)
	$27 Emeritus Membership (those age 65-plus who have been a regular member for a minimum of 8 years)
	$58 International (resides outside the U.S.)
	$30 International Student (full-time student residing outside the U.S.)
	$48 Institutional/Library

CHAPTER DUES (Select all that apply) Chapter membership is optional but must be accompanied by national membership above.
	Arizona Viola Society	$10 Regular    $5 Student
	Central TX Viola Society	$10 Regular    $5 Student
	Florida Viola Society	$15 Regular    $5 Student
	Great Lakes Viola Society	$20 Regular    $10 Student
	Idaho Viola Society	$10 Regular    $5 Student
	Iowa Viola Society	$10 Regular    $5 Student
	Minnesota Viola Society	$8 Regular    $4 Student
	North Carolina Viola Society	$20 Regular    $10 Student
	Ohio Viola Society	$10 Regular    $5 Student
	Oklahoma Viola Society	$10 Regular    $5 Student
	Oregon Viola Society	$10 Regular    $5 Student
	Rocky Mountain Viola Society	$15 Regular    $10 Student
	Seattle Viola Society	$15 Regular    $5 Student
	South Carolina Viola Society	$10 Regular    $5 Student
	Southern California Viola Society	$10 Regular    $5 Student
	Utah Viola Society	$10 Regular   $7 Senior   $5 Student
	Viola Club of DC/MD & VA	$10 Regular    $5 Student
	Virginia Viola Society	$10 Regular    $5 Student

TOTALS
Total AVS National Dues:
Total Chapter Dues:
I wish to make a donation to the Primrose Memorial Scholarship Fund*
I wish to make a donation to the AVS Endowment Fund*
GRAND TOTAL:
*Donations to the AVS are tax-deductible as allowed by law.

PAYMENT
Payment Type:	MasterCard   Visa American Express
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Expiration Date (month/year):
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