Registration and Membership

Name

First Name

Last Name

Pronouns

Title

School/Organization

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Scholarship Participation

I’d like to participate but I need a scholarship

Yes

Student $25

Student Audit Pass $30

Adult $50

Flute Companion $75

Commercial $100

Non Student Audit Pass $35

Mail check or money order to PO Box 41116 Eugene, OR 97404

Note: Registration/Membership is complete upon receipt of payment.