Membership Form

Membership Form
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you signing up for a teacher or family membership?*

TeacherFamily
Teacher Membership Information
Instrument(s) You Teach
Towns Where You Teach
School Name You Teach At (if applicable)
Website Link
Would you like your information listed on the website?*

YesNoYes EXCEPT (list which info you would like left off)
Family Membership
Child's/children's Instrument(s)*
Private Teacher's Name*

Payment
For Organization memberships, please reach out directly to admin@suzukima.org for a pricing quote.

My Products*

Teacher Membership

This is a membership for a Suzuki teacher

$45.00

Family Membership

This is a membership for a Suzuki parent or family

$35.00

Donate $25 to the Carol Sykes fund

$25.00

Total

$0.00

Teacher Membership Information