Step One

Individual Membership Form

Fields marked with * are required

New Renewal

*First Name

*Last Name

Home Phone

Work Phone

Address

City/Town

Province

Postal Code

*Email

Region

Include me in the MCA Printed Directory

Yes   No

Yes, I am a Manitoba Teachers' Society member

MCA Membership Type

$40    Student $25   Senior $25

Canadian Music Educator's Association membership (includes CMEA Journal)

$25    Retired $18    Student $12.50

I am interested in:

serving on an MCA committee

working with member choirs as a clinician

working in the MCA library

volunteering for special events

To help us determine that your are a person and not a machine, please answer the following question:

0 + 0 =

grphead

Manitoba Choral Association
5-276 Marion Street
Winnipeg MB   R2H 0T7
ph: (204) 942-6037
fax: (204) 947-3105
e-mail