| Applicant Information |
| First Name: |
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| Last Name: |
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| Address Street 1: |
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| Address Street 2: |
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| City: |
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| Zip Code: |
(5 digits) |
| State: |
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| Contact Information |
| Daytime Phone: |
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| Evening Phone: |
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| Email: |
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About You:
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| Age: |
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Status:
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Married
Single |
| How long have you been piano tuner/technician? |
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| Were you ever a member of the PTG?: |
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| What was your status if in the PTG?: |
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Technician:
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Full Time
Part Time |
| Background and Experience: |
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| If you play a musical instrument(s), please list them here.: |
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| If you know any MPT members that we may use for reference purposes, please provide their names here:: |
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| If you are a current student of any piano technology school, check the box |
Current Student |
| Current student information: |
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Reasons you want to join the MPT?
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I understand that the application fee is non-refundable and that I will be contacted once my application is reviewed. |
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