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< address> Southern California Conservatory of Music
Braille Music Division
22726 Roscoe Boulevard,
West Hills, CA 91304.
Phone: 818-704-3819; Fax: 866-824-7876

This application asks for personal information like name, address, phone number, and newsletter preference. This is required so you can join MENVI and be networked. For the full policy, Click to read the policy. By filling out this application, you agree to the privacy policy and we are then allowed to contact you per your selections made within. If you do not agree, please do not fill this out.

Parent and Child Section

If you are an educator, or a transcriber please go to the educator/transcriber section. If you are a musician, [proceed directly to the musicians section.

Parent's Name:
Student's Name:
Age:
Musical Instrument(s):
Address:
address 2
City,
State or province:
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Zip)
Phone: (international [members: Please include] international codes such as country, city, etc.)
E-mail address:

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educator or transcriber section

If membership is for an educator or a transcriber, please fill in the following information. If not, leave the section completely blank and go to our general information section of this form. If you are a musician, you may go to our musicians section.

Are you a transcriber or educator?
Educator or transcriber Name:
Affiliation (School, etc.):
Position:
Address type:
Educator address line one
address2
City,
State or province
Country
Zip
Phone: (international [members: Please include] international codes such as country, city, etc.)
E-mail address:

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Musicians section

If you have filled out the sections you need, skip directly to the go to our general section.

Musician's name:
Age:
Musical Instrument(s):
Address:
address 2
City,
State or province
Country
Zip)
Phone (international members: Please include] international codes such as country, city, etc.)
E-mail address:

general information

Please indicate newsletter preference and any additional comments; then click the [“Send this form to MENVI”] button at the bottom of this form.

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