Application Form

Applications cannot be processed unless all required fields are complete.

Fields in bold are required 

Salutation:
First Name:
Last Name:
Middle Initial:
Suffix (Jr. III, etc.):
Nickname:
Primary Address:
Address 2:
Address 3:
City:
State/Province:
Please use 2 letter abbreviation
Zip/Postal Code:
Country:
Phone:
Mobile Phone:
Email:
Website:
Check if you currently subscribe to the Piano Technicians Journal:
Are you a former member of the Piano Technicians Guild? No Yes
Have you ever been convicted
of a felony?
No Yes
Birthdate:
  (MM/DD/YYYY)

Optional Information

Gender: Male Female
Check if you are visually impaired:

By checking the box below, I hereby apply for membership in the Piano Technicians Guild (PTG). To the best of my knowledge, all information submitted on this application is correct. I acknowledge that I have read the Code of Ethics and I agree to abide by all Bylaws, Regulations, and Codes of the Piano Technicians Guild. I authorize PTG to verify the information I have provided.
I Agree


Chapter - Choose the chapter nearest your primary address. If no chapter is indicated, PTG will assign one and send appropriate notifications to the chapter. Chapter numbers relate to the zip code of the chapter seat. Canadian chapter numbers start with 0.

 Let the Home Office Pick


Applications cannot be processed unless all required fields are complete.

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