Registration Type* Registration Type* New Membership Registration Existing Membership Renewal

Salutation* Salutation* Dr. Mr. Mrs. Miss Ms. Other

First Name*

Surname*

Residential Address*

Mailing Address

Home Phone Number

Mobile Phone Number*

Email Address*

Which instruments do you play?* Which instruments do you play?* Eb Soprano Clarinet Bb Soprano Clarinet Eb Alto Clarinet Bb Bass Clarinet Eb Contra-alto Clarinet Bb Contra-bass Clarinet Bb Soprano Saxophone Eb Alto Saxophone Bb Tenor Saxophone Eb Baritone Saxophone Bb Bass Saxophone

What is your current level of playing experience?* What is your current level of playing experience?* Primary School Student Middle School Student High School Student Tertiary Level Student Adult Hobbyist Player Professional Player

Would you like to be included on the Clasax Teachers' Register?* Would you like to be included on the Clasax Teachers' Register?* Yes No

Membership Type* Membership Type* Student - 1 year membership - $25 Adult - 1 year membership - $50 Life membership - $600