Summer Workshop PreRegistration Form

                               ETGMEA Summer Workshop

                                                            Registration Form 

                     PLEASE PRINT OR TYPE ALL INFO:

                Name: ________________________________________________________

                Address: _______________________________________________________

                City: _________________________________      Zip: _________

                Phone: ___________________

                School: __________________________________________________

                E-mail: _____________________________________

                MENC ID#: _______________________

                ___  $15- Membership dues and workshop fee

                ___  $15- Non-member workshop only

                ___  $10- Membership only- no workshop

                Will you be staying for the recorder "Jam Session" ?

                   ___  Yes

   

                   ___  No

   

                Make all checks payable to ETGMEA

                Send completed registration form and checks to:

                Kathy Tallent,  ETGMEA Secretary/Treasurer

                5817 Windtree Lane

                Knoxville, TN  37921