DMTA Membership Form

I have included the yearly membership fee of $15.00 and
(make checks payable to DMTA)

My name is:______________________________________

I would like to receive DMTA news at this address:
__________________________________________
__________________________________________
(note: your address is not made available to the public.)

I teach in this part of Davis: _______________________
e.g. North, South, East, West, Central, downtown, in student's home, other (print).

My music business phone # is :__________________

Do I have an email address where students could contact me?
email address:______________________________

I teach these instruments:________________________________

I would like prospective students to know this info about me:
(this is published on the web and on a list posted in local stores.)
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________

[   ]   Please check if you do not want to be listed at all on the web site,
        but do want to be listed on the paper list.
 
 

Please mail this to:

                             Sandra Granett
                             850 Linden Lane
                             Davis CA, 95616
 

Questions?? call (530) 756-1362
 

Thank you for joining the DMTA!