Greater Cincinnati AOSA Membership Application

Greater Cincinnati AOSA Workshop Registration 2006-07

NOTE : *PLEASE * do not use * * the ENTER or RETURN keys on your keyboard until you are finished. If you do, your form will be submitted before it is complete. Should this happen, just use your BACK button on your browser to go back to complete the form again. When you are finished filling in your information, CLICK THE "SEND INFO" BUTTON found in the box below the area where you put your information. If your information is successfully sent, you will see a new window with a message for you. If you do not see that window - your data has not been sent. Try clicking on the SEND button again until you get the new window message.

NOTE : If you are planning to attend the AOSA National Conference this November in Omaha, Nebraska, you should plan to pay your national dues directly to AOSA headquarters as soon as possible. (The national memberships renewed at our chaper workshop in September will not be processed through the national office until mid-October.) You can apply for national membership online at http://aosa2.org/ or call the national AOSA office in Cleveland at (440) 543-5366. Ask them to please give you your membership number or email it to you so that you will then have it to fill out the rest of this registration either online or in person at the workshop.

Name : AOSA ID# ( only if a current member ) :
Address :
City : State : Zip :

Is this a new address? Yes No
Home Phone (include area code): E-mail:

Future Newsletters may be sent to me by email to save the chapter expenses.
I prefer that newsletters continue to be sent to me by postage mail.

Please check the following boxes only if you DO NOT want your information reported in those categories.
Do not need to mark this area if you wish listing in the chapter directory.
I do NOT want my phone number listed in the directory.
I do NOT want my e-mail address listed in the directory.
I do NOT want my name and information published on the AOSA website.
I do NOT want my name sold by the national AOSA.to music industry/ institutions

School District, Church, or University in which you work :
Building in which you are most available to be reached :
Work Phone (include area code) :

I am renewing my membership.
I am a new member.
I am an intermittent member. ( I had a membership in the past, but did not join last year ).

* FYI: To be considered a "Member" of the Greater Cincinnati Chapter, you must be a member of the National AOSA.

I am (check all that are applicable) :

Music Specialist in School. Private.
General Classroom Teacher
Music Therapist
Univ. Professor/Staff
Church Director
Student At : ( Bring Your Student ID to workshop )
Other :

I am : Teacher Retired Full-Time Student

I am interested in Miami University Credit.
Ohio Residency = One SEMESTER Hour - Graduate ( see link ). TBA , Undergraduate ( see link ).
A one time fee of $15. is charged if you have never taken a M.U. graduate level course or workshop before.
Registration and payment for Miami University credit will take place at the first worksop.
Note: for more information about Miami Credit click this link : Miami Credit

I am interested in Professional Development Credit Hours. ( no charge )
Note: for more information about Professional Development Credit, click this link : Professional Development Credit

I would like to donate $ to the Cincinnati Chapter Endowment Fund for scholarshop programs. My donation is :
An Outright Gift to the chapter from :
In Memory of :
In Honor of : :

Please use the table of option explanations below as your guide to deciding which option package is best for you :

Click here TO SEE THE TABLE and OPTION EXPLANATIONS AT THE BOTTOM OF THIS PAGE
After you have read the options below, please come back to this section and select our choice by clicking on the Option Number on this list. To go back to the option explanations, CLICK HERE

Option 1
Option 2
Option 3
Option 4
Option 5
Option 6
Please Type Your First & Last Name Again:

Please fill in the amounts you will be submitting.

Selected Option Cost:

$

Donation Amount:

$

Complete Total:

$

Please note if you are taking Miami Credit :
You will need to BRING AN ADDITIONAL SEPARATE CHECK ( or credit card ) for your Miami fees
on the day of the first workshop Saturday. Sept. 16.

I will bring my check/s for payment to the check-in table the day of the workshop.
Reminder : Please Make Check Payable to: Greater Cincinnati AOSA

PRINT OUT YOUR COMPLETED FORM then,
Click to complete your registration.
Before you send, PRINT OUT THIS for your records and then bring this form with you to the first workshop registration just in case your information does not reach us correctly.

NOTE: Your form has not been sent until you see a new message window. If you do not get that message, your form was not sent. Try clicking on the SEND button again

If you find that you need to completely clear and redo your selections,
then click

*FYI - National AOSA membership is required for official Greater Cincinnati Chapter membership.
Others attending the workshops will be classified as " visitors ".

Options Summary
Option	Benefits					Cost
Option	National Membership	Local Chapter Membership	Orff Echo Subscription	National and Local Directories	1 year workshop package	Teacher	Full-time Student	Retired
1	1 year	1 year	yes	yes	yes	$130 BOTH National and Local Package	$65 BOTH National and Local Package	$80 BOTH National and Local Package	THE COMPLETE PACKAGE
2	Requires CURRENT prepaid AOSA valid thru 6/30/07	1 year	yes	yes	yes	$60	$30	$30
3	Requires CURRENT prepaid AOSA valid thru 6/30/07	1 year	yes	yes	No workshops	$20	$10	$10
4	No	No	No	No	a single workshop ONLY	$40	$15	$15
5	1 year	1 year	yes	yes	this cost included in Miami tuition	$70	$35	$47	These are National AOSA dues
6	Requires CURRENT prepaid AOSA valid thru 6/30/07	1 year	yes	yes	this cost included in Miami tuition	no charge	no charge	no charge

Option 1: THE COMPLETE ONE YEAR PACKAGE : I am NOT currently a National AOSA Member . I WANT TO JOIN WITH A 1 YEAR MEMBERSHIP TO BOTH the NATIONAL AOSA and the LOCAL CINCINNATI ORFF CHAPTER. I UNDERSTAND THAT THIS OPTION ADDITIONALLY GIVES ME THE TOTAL PACKAGE of the CURRENT YEAR' s workshops at the chapter member>
Teacher: $130 Full-time Student: $65 Retired Teacher: $80

Option 2: I HAVE NATIONAL - I WANT THE LOCAL CHAPTER WORKSHOP PACKAGE :
I HAVE ALREADY PAID the National AOSA MEMBERSHIP for this CURRENT YEAR ( as indicated by my membership number above ) which includes my subscription to the Orff Echo and the National AOSA directory ). I WILL BE attending the workshop sessions and I WANT TO PAY FOR THE CURRENT YEAR'S CHAPTER WORKSHOP PACKAGE which includes Workshop Fees and Chapter Membership .
Teacher: $60 Full-time Student: $30 Retired Teacher: $30

Option 3: I HAVE NATIONAL - I WANT ONLY A CHAPTER MEMBERSHIP - NO WORKSHOPS :
I HAVE ALREADY PAID the National AOSA MEMBERSHIP for this CURRENT YEAR ( as indicated by my membership number above ) which includes my subscription to the Orff Echo and the National AOSA directory. I WANT TO PAY FOR LOCAL MEMBERSHIP IN THE CHAPTER, BUT I WILL NOT BE ATTENDING WORKSHOPS. I understand that this will allow me to receive a copy of the local chapter directory and permit me to use the chapter video library services.
Teacher: $20 Full-time Student: $10 Retired Teacher: $10

Option 4: SINGLE WORKSHOP : I WISH TO PAY FOR JUST A SINGLE WORKSHOP.
Teacher: $40 Full-time Student: $15 Retired Teacher: $15

Option 5: MIAMI CREDIT : I will be taking the workshops for Miami credit. I WISH TO PURCHASE ONLY MY CURRENT ONE YEAR NATIONAL AOSA MEMBERSHIP which will include my subscription to the Orff Echo and the national AOSA directory. ( This combination of National AOSA membership and the Miami tuition fee will also cover my local chapter membership and my workshop costs for the current year and will include the local chapter directory ).
Teacher: $70 Full-time Student: $35 Retired Teacher: $47

Option 6: I HAVE CURRENT NATIONAL AOSA MEMBERSHIP - I WISH MIAMI CREDIT : I will be taking the workshops for Miami credit. I ALREADY HAVE A PAID MEMBERSHIP to National AOSA for this CURRENT YEAR ( as indicated by my membership number above ). Membership includes my subscription to the Orff Echo and the National AOSA directory. ( This combination of National AOSA membership and the Miami tuition fee will cover my local chapter membership and my workshop costs for the current year and will include the local chapter directory ).
Teacher: No Charge Full-time Student: No Charge Retired Teacher: No Charge

CLICK HERE TO RETURN TO THE OPTION SELECTION BUTTONS

I AM NOT SURE WHAT OPTION I SHOULD CHOOSE :
If this is you, please send an email to our membership co-chair, Corrie Graham , Membership@cincinnatiorff.org
by clicking on her name link or call her at 513-289-8119. She will be glad to help you and answer any questions you may have.

Selected Option Cost:	$
Donation Amount:	$
Complete Total:	$

PRINT OUT YOUR COMPLETED FORM then, Click to complete your registration.	Before you send, PRINT OUT THIS for your records and then bring this form with you to the first workshop registration just in case your information does not reach us correctly.
NOTE: Your form has not been sent until you see a new message window. If you do not get that message, your form was not sent. Try clicking on the SEND button again	If you find that you need to completely clear and redo your selections, then click