The Association Of Blind Piano Tuners
Membership Application Form
Name____________________________________
Date of birth_____________
Address________________________________________________________________
Town______________________
Post Code________________________
Telephone No.____________________
E-Mail Address:________________________________________
State name of establishment where you were
trained_____________________
Qualifications______________________________________________________
Year in which Qualifications were
attained_____________________________
State format of literature:
BRAILLE, PRINT or EMAIL(Delete as appropriate)
Type of membership________________________________________________
Details Of Membership
|
Membersihp Fees
|
|
| Full Membership |
£55.00 |
| International Members |
£25.00 |
| Trade Member
|
£25.00 |
| Associate Membership |
£15.00 |
| Friend Or Supporter |
£15 minimum donation |
| Student Membership |
(free until completion of
training) |
Please include a pass port size photo of yourself. (Full Members only)
Signature of Applicant_______________________
I enclose my cheque/postal order For £______________
Date___________
All cheques should be made payable to the Association of Blind
Piano Tuners When completed this form should be sent to:
Membership Liaison Officer:
Mr. S Workmann
2 St Davids Drive,
Killay, Swansea,
Wales SA2 7EN
Tel: 01792 208026
SC/BH/WEB