2016-2017 Suzuki Association of Georgia (SAGA) Membership Form

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Last Name *

First Name *

Street Address *

City *

State *

Zip Code *

Email Address *

Phone Number *

Membership Category *

I am including an additional donation to become a Friend of SAGA.

Total Membership Fee *

Include Friend of SAGA donation (if applicable). Check or cash only. Online payment is not available at this time. Please make all checks payable to SAGA. Mail all payments to SAGA c/o University of Georgia Community Music School, 250 River Road, Athens, GA 30602.

ALL MEMBERS: Instrument(s) taught or studied: *

Violin

Viola

Cello

Piano

Flute

Guitar

Bass

Harp

Other

Required

TEACHERS ONLY: Yes, please include the following information in the Teacher Directory on the SAGA website:

Email Address

Mailing Address

Phone Number

Website

TEACHERS ONLY: Teaching Location(s)

TEACHERS ONLY: Website (if applicable)

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