APPLICATION FOR TEACHER/TRAINEE MEMBERSHIP 2005
The Membership year is from 1 January - 31 December. Teachers who first join during the year pay pro-
rata fees.
Teacher/Trainee members receive the bi-monthly Suzuki Notes with details of all Suzuki Music activities plus
regular Teachers' Information Sheets.
Teachers are Trainee Members until they attain Primary Accreditation, when they become full Teacher
members. Teacher members are required to complete a minimum of 6 hours of approved professional
development annually to maintain their listing on the Directory of Accredited Teachers and the right to
enter students for Graduation.
A late fee of $25 will be charged to teachers who pay after 31 March.
Full time students are entitled to a discount for Trainee membership on presentation of their student card.
N
ew member (see below)
$
Joining in
Jan/Feb/March pay $130
Apr/May/June pay $95
July/Aug/Sept pay $65
Oct/Nov/Dec pay $35
Renewing member (Membership No:..................)
1 Year $130
All renewing Violin teachers add $5.00 to the above for the accompaniment CD. $135
3 Years $370
Dr /Mr /Mrs /Ms /Miss (Please circle)
Family Name______________________________________________ Given Name ________________________________
Address
________________________________________________________________________________________________
City ________________________________________________________ Postcode_________________________________
Telephone Home _____________________________________ Business ________________________________________
Fax __________________________ Mobile _____________________________ Email ______________________________
Instrument _____________________________________________________________________________________________
Qualifications __________________________________________________________________________________________
Teaching Experience ___________________________________________________________________________________
________________________________________________________________________________________________________
Payment : Please note that all prices are inclusive of GST
(Please tick) Cheque/Money Order (payable to Suzuki Music) Cash Credit Card
If paying by credit card please fill in the details below: ( Bankcard Visa Mastercard )
Name on card (Block letters): ____________________________________ Signature: ____________________________
Card No:
_ _ _ _ /_ _ _ _ / _ _ _ _ / _ _ _ _
Card Expiry Date
_ _ / _ _
A NON-PROFIT ORGANISATON
170 Southbank Blvd Southbank VIC 3006
Ph: (03) 9681 6933 Fax (03) 9681 6977
info@suzukimusic.org.au
www.suzukimusic.com.au
Suzuki Talent Education Association of Australia (Vic) Inc. Reg. No. A5744 ABN 14 080 413 955
