Name:

If Organization, Contact Name; if Family membership, Primary Member Name

First Name:

Last Name:

Organization Name:

Username

E-mail

Membership Type:

Membership:
I am currently a paid member and just want to add my information to the directory. Individual:1 year $35
Individual: 2 years $65
Individual: 3years $90

Senior: (65+) $30
Youth: (Under 21) $15
Family: (multiple individuals residing at the same address) $45

Organization: Local Storytelling Group $40
Organization: School/Library/Religious $40
Organization: Festival/Event Organizer $100
Organization: Umbrella Membership for Counties/ School Districts/Library systems $100
Organization: Individual school or library joining under an umbrella membership $25

Profile Information

Your Website:

Include "http://"

Website2:

Email2:

Description:

For profile in Teller Directory.

Performance Name:

Cell Phone:

Work Phone:

Home Phone:

Fax:

Address:

City:

State:
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Zip:

Keywords/Tags:

Enter keywords that describe your repertoire, for instance Pre-school, Children, Families, Workshops, Folktales, Fairy Tales, Fables, Historical Storytelling, etc. Separate items with a comma.

Regions in which you perform or in which your organization is located:
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Do you want your profile listed in the Teller Directory? :
Yes No
Note: Teller listings are free to all members in 2009!

If yes, what should be displayed in your Teller Directory listing?
Performance Name
Address
CityStateZip
Home Phone
Cell Phone
Work Phone
Email1
Email2
Website2

YouTube Video ID:

If you want to display a video on your Teller Directory profile page, include the YouTube ID# for your video here).

Additional information for Family Membership:

Family Membership: Member #2:

Family Membership: Member #3:

Family Membership: Member #4:

Your Password:

Password:

Confirm Password:

Too Short Hint: Use upper and lower case characters, numbers and symbols like !"?$%^&( in your password.

Validation Image:

Enter the text from the image.

A password will be e-mailed to you.