Membership Application Form

Please complete the membership form, and the Information Survey if you are a teacher, and click the 'Send' button at the bottom of the form. As we cannot yet receive payment by credit card electronically, please send your remittance by cheque. Payment details are at the bottom of the form.

Fields that must be entered are marked with an asterisk (*)

Membership Form
Membership Type  - new
 - renewal
Name*
Address*
 
 
County
Postcode*
Phone*
Email*
Mobile (optional)
 

Member Information Survey (optional)

Approx. no of students
Do you give...  - private lessons?
 - group lessons?
 - classes?
 - ensemble coaching?
 - master classes?
 - workshop classes?
Do you train recorder teachers?  - yes
 - no
Have you developed teaching materials?  - yes
 - no
Would you like to be included in our referral list?  - yes
 - no
Would you like a webpage via this site?
(click here for more information)		  - yes
 - no
How did you hear about ERTA?
Comments and suggestions
 

Payment Details

Membership Fee: Individual £30, Student £16, Corporate £40.

Please make cheques payable to ERTA, and send to Glyn Evans, 44 Forest Hills Drive, Townhill Park, Southampton SO18 2FW.

Thank you.