OSA Membership Form

Membership Form

Please print clearly in ink.

Last Name                                            First                                         MI                        List on Website

Permanent Address                                                                                                           List on Website

City                                                                  State                Zip Code                               

County                                               

Phone day (          )                              evening (        )                                   List on Website

Fax      (           )                                               List on Website

E-mail address                                                                                                                  List on Website

Please check if you would like to receive an electronic invitation to join the Oregon Suzuki Yahoo list serve.      

Instruments taught:

Languages spoken?                                                                                                     List on Website

Membership Fee: $25.00                     Please make checks payable to: Oregon Suzuki Association

Suzuki Association of the Americas (SAA) Membership #                            Expiration:                

(In order to maintain a parallel relationship with the SAA, the OSA requires teachers to be current SAA members.)

Please mail this form and your check to: