Step 1 - Provide Member Information

Member Identification
	Name	Mr. Ms. Mrs. Dr.				Sr. Jr. II III Esq.
			First*	Middle	Last*		Nickname

Contact Information
	Street Address*
	City*		State/Province*	Select AlabamaAlaska AlbertaArizona ArkansasBritish Columbia CaliforniaColorado ConnecticutDelaware District of ColumbiaFlorida GeorgiaHawaii IdahaIllinois IndianaIowa KansasKentucky LouisianaMaine Manitoba Maryland MassachusettsMichigan MinnesotaMississippi MissouriMontana NebraskaNevada New BrunswickNewfoundland/Labrador New HampshireNew Jersey New MexicoNew York North CarolinaNorth Dakota Northwest TerritoriesNova Scotia NunavutOhio OklahomaOregon OntarioPennsylvania Prince Edward IslandRhode Island South CarolinaSouth Dakota TennesseeTexas Utah Vermont VirginiaWashington West VirginiaWisconsin Wyoming
	Postal Code*		Country	Select Canada United States
	Phone
	Alternate
	Fax
	E-Mail Address*

Musical Background
	Are you a tambura musician or vocalist?		Yes   No
	Instrument(s) you play	Select Prim Brac Cello Bugarija Bass Accordion Violin Vocals Other (describe)	Other
		Select Prim Brac Cello Bugarija Bass Accordion Violin Vocals Other (describe)	Other
		Select Prim Brac Cello Bugarija Bass Accordion Violin Vocals Other (describe)	Other
		Select Prim Brac Cello Bugarija Bass Accordion Violin Vocals Other (describe)	Other
		Select Prim Brac Cello Bugarija Bass Accordion Violin Vocals Other (describe)	Other
	Are you actively playing/singing with an orchestra?		Yes   No
	Orchestra Name(s)

Registration Info
	Registration Type*	New Membership
		Renewal
	Membership Period*	5 Years ($35)
		1 Year ($10)
	Tamburitza Times	Send one copy to each active member in my household
	(newsletter)	Send only one copy to my household
		Do not deliver to my household
	Comments
	Attention New Members!
	A membership drive is underway to expand our ranks of tambura enthusiasts.  Existing members can earn valuable rewards by recruiting others to join the TAA.  If applicable, please specify the name of the TAA member that encouraged you to join our organization ... and remember, once your membership is processed, you will also be eligible to earn rewards as part of the 2007-2008 membership drive.
	Recruited by