Supporting Membership Form


Please note that this level membership is not open to Alexander Teachers or Trainees.
Prefix
First Name
MI
Last Name
Suffix
Email
Title

Work Address
Organization Name
Address

City
State
Zip
Work Phone
Work Fax
Website


Home Address
Address

City
State
Zip
Home Phone
Mobile

PRIMARY ADDRESS
Please indicate ONE address where you would like to receive all mailings:
	WORK Address is Primary Address
	HOME Address is Primary Address

Referred by (name of AmSAT member)


Tell us about yourself:
Are you currently taking private lessons or group classes in the Alexander Technique?



Are you currently training to be an Alexander Technique teacher on a non-AmSAT course?



If yes: What is the name of your training course and training director?


When do you expect to graduate?
	?

(Please note that if you are training on a non-affiliated - not AmSAT/not ATAS - training course, once you become a teacher of the Alexander Technique please consider going through Credentials Review so that you can retain your membership.)


Many AmSAT members volunteer to fulfill the society's purpose and goals. Are you willing to make a contribution of your time and expertise or support AmSAT with a monetary donation?

Yes, I can volunteer some time.


I have expertise in:
Use the Ctrl key (Command key on a Mac) to select multiple options.


Please elaborate (e.g., "I am a lawyer and can give 10 hours in the next few months):




I would like to donate (Click here):


Membership
One year of Supporting Membership to AmSAT is $55.

Please choose fee:

- denotes required fields