Membership Form
2012-2013
Please Click on the attachment below to view and print the membership form.
LISFA now accepts membership dues ONLINE!:
CURRENT MEMBERS
- Type www.lisfareg.com in your web browser.
- Click on “Member Login” and use your current username/password when prompted. (If you do not remember this information, click on
- Log in and Click “My Profile.” Update profile as necessary and click “Update Profile” when complete.
- Click on “Pay Dues,” where you can automatically pay your LISFA dues with a credit card!
- If you are renewing your membership and all information is current/same as last year, you are done! You do NOT need to send in this form.
(If your district pays through a purchase order, please complete Steps 1-4. Then, have your director of music/district coordinator log into “Director Login” and print out an invoice under “Teachers.”)
NEW MEMBERS: Please complete this information (print form from attachment below) AND go to www.lisfareg.com to register online!
Name: ___________________________________________________
County Where You Teach: Nassau Suffolk
District: __________________________________________
Home Address: _________________________________________
Home Phone: ( ) _____________________________________
E-Mail Address: _________________________________________
School Building(s): _________________________________________
School Phone (Home School if in multiple buildings): ( ) ___________________
Major Instrument (circle): violin viola cello bass
Other: ________________________________
2011-12 MEMBERSHIP DUES RATES:
Active Member (currently teaching): $22
Retired Member: Free
**Retirees should still send in this form (print attachment below) with updated contact information to stay on our mailing list.**
If you are a new member, your information has changed (even if you paid online) or you are paying by check, please print the form (attachment below) and return the form to our Membership Chairperson before October 15, 2012. If you are a district director, please include the invoice along with your payment.
Mail the membership form (print attachment below) and any checks made out to “LISFA” by October 15, 2012 to:
Leiann McGrory, LISFA Membership Chair
73 Upland Drive
East Northport, NY 11731