MEMBERSHIP REGISTRATION

July 1, 2006 – June 30, 2007

Name Phone (        )                                     

Address City State Zip

E-Mail Address

District School

(if applicable)

Is this a new address or phone number?                                          Yes                  No

May we publish your information in the member directory?           Yes                  No

Please circle the type of membership you are requesting:

            IEOC ONLY   $50.00             JOINT IEOC/AOSA $95.00 ($25 IEOC/$70  AOSA)

    (For your convenience, you may pay both with one check.)

If joining AOSA, please circle the appropriate category:

            New member               Renewal                       Intermittent (former member)

Please circle your level of Orff-Schulwerk certification:   None  Intro.   Level I  II  III  III+

Would you be willing to present a lesson at a Chapter Sharing Session?  Yes       No

Would you be willing to host (provide a site for) a workshop?                               Yes       No 

Would you consider serving as an officer on the IEOC Board?                             Yes       No

Make checks payable to IEOC

Mail to:      Linda Honn

                                                            1613 S. University Road

                                                            Spokane Valley, WA  99206

Questions:  Call Linda Honn (509) 921-0306 or

                            Sally Eilering-Sorenson (208) 651-0544

Office use only

M

W