Name:__________________________________________________

(Please Print)        (First)                 (MI)                (Last)

Address:________________________________________________

City: _________________________________    State:__________ 

Zip/Postal PLUS 4 (9 digits):_________________-_____________

Province:__________________  Country: ____________________

Telephone Number: (______)______________________________

EMAIL Address: _________________________________________
                                Please print your EMAIL clearly!
 

Check here if you DO NOT WANT to share your contact information with fellow ABTA members in our roster and Quarterly Magazine.

Check here if you DO NOT WANT to have your email address published on our website so potential students can contact you.

A. How long have you taught Bridge professionally?
_____ None (New)_____ 25 hours;

_____ 50 hours;_____ 100 hours or more; or
_____ I am not a teacher but I wish to be affiliated with a professional organization which promotes improvement in the teaching of bridge

B. I teach ______  (beginners), ______ (intermediates),
______ (advanced) students.    (Please check as many as apply)

C. I have taught in the following settings: _____ Home;
_____ School;_____ Community Center, _____ Bridge Clubs, _____ Other

D. Comments regarding my Bridge and Bridge teaching experience:

______________________________________________________

______________________________________________________

Signature:
______________________________________________________

Dues: US Funds $35 for 1 year; $90 for 3 years; or $49/year for household

Canadian members may pay in Canadian funds by sending $45 per year; 3 years for $114; or $62 per year for a household membership.   ABTA offers this option as a convenience to Canadians and fees may be higher than the conversion rate indicates due to US bank fees.

Household membership: $49 per year US or $62 Canadian

Please print this page and mail the completed application with your check or money order to:

Deborah Murphy, ABTA Business Secretary
1254 26th Avenue, San Francisco, CA  94122-1505