Membership Survey

for EMA INDIVIDUAL AND FAMILY MEMBERS

Part I: Name and Address (to be printed in the EMA Director of Members)
Salutation:
Name:
Address1:
Address2:
City: State: Zip:
Country:
Phone 1:
Phone 2:
Fax:
Email:
Web URL:
Part II: Early Music Information (to be printed in the EMA Directory of Members)

Enthusiast/Audience Member

Early Music Performer

Level:
Professional
Pre-professional
Semiprofessional
Amateur

Instruments:
Violin
Viola
Cello
Bass
Viola da gamba
Violone
Vielle
Viola d'amore
Other bowed strings

Lute
Theorbo
Guitar
Harp
Other plucked

Harpsichord
Organ
Fortepiano
Clavichord
Other keyboard

Recorder
Flute
Oboe
Bassoon
Clarinet
Renaissance winds
Other winds

Cornetto
Trumpet
Horn
Sackbut
Other brass

Percussion

Voice:
Soprano
Alto/Mezzo
Countertenor
Tenor
Bass

Member Categories:
Conductor

Historical Dancer
Type:
Professional
Semi-professional
Pre-professional
Amateur


Early Music Educator
Musicologist
Instrument Maker/Repairer
Early music adminstrator (agent, presenter, manager, director)
Board member or volunteer
Early music publisher or merchant
Writer, journalist, reviewer, editor
Radio, television, recording host or producer
Editor or arranger of early music publications
Theatre, opera director

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