Kentucky Orff-Schulwerk Association Membership:

July 1, 2011 - June 30, 2012

Name: ______________________________________________________

Phone: (____)_____________

Mailing
Address: ___________________________________________________

____________________________________________________________

City: ______________________________________________________

State: ________________________ Zip Code: __________________

E-mail
Address: ___________________________________________________

Service Opportunities:
(Check all that Apply)

___ I would be willing to share a favorite lesson at our January Chapter Share.

___ I would be willing to lead a read through of one of my favorite pieces for children's choir at our January Chapter Share.

___ I would love to donate and item (i.e. classroom visual, children's book, handmade craft, small instrument, favorite written lesson plan, etc.) for our annual January auction.

PLEASE READ ALL PAYMENT OPTIONS  

Membership Dues Included:

KOSA Regular Member Dues - $25.00: _______

KOSA Retired Member Dues - $20.00: _______ 

PACKAGES AVAILABLE

1 _______  Regular membership + Four workshops ($25.00 each) - $115.00 (savings of $10.00)

2 _______  Regular membership + Four workshops + AOSA Membership dues- $185.00 (savings of $15.00)

3 _______  Retired membership + Four workshops ($20.00 each)- $95.00 (savings of $5.00)

4 _______  Retired membership + Four workshops + AOSA Membership dues- $165.00 (savings of $10.00)

Total Amount: _____________

Make checks payable to:

Kentucky Orff-Schulwerk Association

Mail to:  Jennifer Wilson, KOSA Treasurer

             440 Cory Lane

             Butler, KY 41006