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MEMBERSHIP APPLICATION FORM
I hereby apply for membership in the Australian Accordion Teachers Association (Incorporated).

First Name:
Family Name:
Contact Email Address:
Street Address:
City:
State/Province:
Country:
Contact Phone Home:
Contact Phone Work:
Contact Fax:
Date of Birth (if under 21)
dd/mm/yy
and for the following members of my family (if applicable):
 
First Name
Family Name		 Date of Birth
(if under 21)
1.
2.
3.
4.
5.
6.

MEMBERSHIP CATEGORIES AND SUBSCRIPTION FEES FOR YEAR BEGINNING 1ST APRIL
Ordinary Membership / Associate Membership (all ages) $10.00
Full Membership $50.00
Please mail your cheque (international competitors airmail a bank draft) to:
131 Carcoola St, Canley Vale, 2166 NSW, AUSTRALIA
Amount being sent by mail $

Any message for the Competitions Secretary?
When I click the Submit button below, all the people listed above hereby agree:
-
To be loyal to the Association and to be bound by the rules of the Association and its Constitution, as amended from time to time.
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That the AATA and all AATA Officials accept no responsibility for any loss or injury caused to or incurred by any person attending any event of the AATA and that any responsibility shall be with the relevant venue provider.
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If any person listed above is under eighteen years of age, the participants's parents or guardian, have read and understood this clause.
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Nothing in the above is intended to breach any legislation.

Press to send your Membership Application Form

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