Piedmont NC Chapter of AOSA

Piedmont NC Chapter of AOSA Membership Form

Membership in the Piedmont NC Chapter requires national membership in the American Orff Schulwerk Association. Please use the National Membership Form for this purpose and include it with this form or do so online @ www.AOSA.org PNCC Membership runs from July 1 to June 30 NAME ______STREET ______CITY, STATE, ZIP ______PHONE: HOME ______WORK ______CELL ______* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Please check your primary professional areas below: _____ Music Teacher _____ Classroom Teacher _____ Retired _____ Church Musician / Director _____ Industry _____ Full-time student _____ Administrator _____ University Personnel _____ Music Therapist

Other (please specify) ______

Age / grade levels you work with ______

School or church where you teach ______

School system and/or county where you teach ______

Are you a new member of AOSA? _____ PNCC? ____ Other Chapter Memberships: ______

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * In an effort to keep costs down, newsletters, etc. will be emailed and/or available on our website: PIEDMONTORFF.ORG

E-MAIL--Home: ______E-MAIL--School: ______

(Note: Please make sure we have an e-address that will accept attachments as we often send important documents to all members via email.) ______Check here if you do not check your email regularly and prefer items to be mailed to you ______I don’t check email regularly but would prefer a quick phone call rather than having you mail items. I would like to make a donation of $ ______to the ADCOCK / CICEK MEMORIAL ORFF SCHOLARSHIP. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * PNCC Membership Dues are $20.00 Membership National Membership Number ______Benefits: THANK YOU *Reduced fee to workshops for Supporting or email copy of online receipt to Nita @ [email protected] *Scholarship opportunities Your Local AOSA Please note your dues may be tax deductible. *Chapter Newsletter Chapter! *Great ideas & Please make check payable to PNCC-AOSA. Fellowship (Note: You may write one check if renewing National through PNCC) & More! Mail your check and membership form(s) to: Nita Whitaker, Treasurer, 155 Ashmont Drive Kannapolis, NC 28081