After sending this form, please complete your Membership Folio.  Click Here for details. 

Applicant
Title (Mr., Ms., Mrs., Atty., Dr. or Rev.; specify if other) / First Name / Nickname / Middle Name / Last Name / Date of Birth (Date, Month & Year)

Example:
Dr. / Juan Miguel III / JM / Mercado / De La Cruz / 1 January 1970

E-mail
Write only one (1) e-mail address in case you have two or more.  Multiple addresses in this box will prevent your application from reaching us.  Write your other address/es in the next box.

Contact Details
Postal Address (Complete address where  you can receive mail by post or courier.)
Region
Website Address/es
Other E-mail Address/es
Landline/s (Include area code.)
Mobile Number/s

Example:
22 Beltran St., Central, San Marcelino, Zambales 2211
Region III
www.mychoicewebsite.com
myemail02@yahoo.com, another_email@gmail.com
046 876 5432
0917 834 0424, 0918 834 0424

Current Choral Activities
Institution / Degree / Course/major/concentration / Years
Organization / Years
Name of Choir / Choir Type / Years
Create a 3-code type of your choir using the guide below.  If you are not currently directing a choir, please write: 'No choir currently being handled.'

Choir Types

• MC - Mixed / AM - All-Male / AF - All-Female
  
• I - Adult / II - Youth / III - Children's
  
• 1 - College / 2 - High School / 3 - Grade School / 4 - Church / 5 - Corporate / 6 - Government / 7 - Others
  

Example:
St. Scholastica's College / BM / Choral Conducting / 2009-present
Association of Philippine Choruses / 1990-1994, 1997-present
International Federation for Choral Music / 1985-present
Holy Rosary Parish Boy's Choir / AM - III - 4 / 1995-2000, 2011-present
Rizal National High School Chorale / AF - II - 2 / 2005-present
Philippine National Choral Ensemble / MC - I - 6 / 2010-present

Payment Details
Amount / Transaction Code
The Transaction Code is the entire third line of machine validation printout on your bank deposit slip starting with the date in <mm-dd-yy> format and time in <hh:mm:ss> format  followed by four alpha-numeric codes.

Example:
PhP600.00 / 01-20-11 15:45:03 021N 48 2795 614 
or
US$35.00 / 1 Year / 02-28-12 PayPal