AFS Teacher Roster Submission Form

To have your name placed on the AFS Teacher Roster, please fill out this form
and submit it to the Membership Chairperson (lesetz@cox.net), or mail it to:

Arizona Flute Society
P.O. Box 24688
Tempe, AZ 85285-4688
USA

For questions and comments, please contact by email president@azflutes.org.

REQUIRED INFORMATION:

Your name:
______________________________________________________________________

Contact Address:


Street_________________________________________________________________

City___________________________State________Zip___________________________

Contact Phone:___________________________

Mobile Phone:___________________________

Studio Phone:
___________________________

E-Mail:
___________________________

I am currently a member in good standing of Arizona Flute Society. (Required for listing.)
I am sending at this time my membership dues to Arizona Flute Society. (Required for listing.)


OPTIONAL INFORMATION:

Education/training (schools and teachers only, please):

 

 

 

 

Location(s) where I teach:

 

 

 

 

Student preference (age, background, level, etc.):

 

 


Any teaching specializations (Suzuki, Alexander Method, etc):

 

 

 

Hourly lesson rate:___________________________

30 minute lesson rate:
___________________________

Do you offer any other payment plans?

 

 


Other information you would like to have included: