Membership Application - New England Piano Teachers' Assoc., Inc.

Thank you for your interest in joining NEPTA. Please complete the following application, and our membership chair will contact you.

Name *

LName *

Username

Type of Membership

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Credit Card

Address

City

State/Province

Zip/Postal

Phone *

Cellphone

Email *

How did you hear about us?

Degree or Diploma *

Institution *

Major *

Piano Teachers *

Describe such factors as years of teaching, approximate number of students, levels of advancement of students: *

List one professional musician who could recommend your work:

Name of reference *

Phone

Email *

List other musical associations to which you belong