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UNIVERSIDADE ESTADUAL DE CAMPINAS - UNICAMP FACULDADE DE ENGENHARIA QUÍMICA ÁREA DE CONCENTRAÇÃO SISTEMAS DE PROCESSOS QUÍMICOS E INFORMÁTICA “IMPLEMENTAÇÃO DE UM SISTEMA UNIFICADO PARA GERENCIAMENTO DE REJEITOS” Autor: Eliane Magalhães Pereira da Silva Orientador: Profa. Dra. Elizabete Jordão Co-Orientador: Dr. Vanderley de Vasconcelos Tese de Doutorado apresentada à Faculdade de Engenharia Química como parte dos requisitos exigidos para a obtenção do título de Doutor em Engenharia Química Agosto – 2006 Campinas – São Paulo – Brasil

BOSTON RECORDER SOCIETY 2016- 2017 MEMBERSHIP FORM

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Page 1: BOSTON RECORDER SOCIETY 2016- 2017 MEMBERSHIP FORM

2016-2017 Membership Registration Form Boston Recorder Society

BOSTON RECORDER SOCIETY 2016- 2017 MEMBERSHIP FORM

Personal Information

Name

Phone number

e-mail address

Can we share your contact information with other BRS members? Y / N

Are you a new BRS Member? Y / N

Membership Options (Choose one):

Basic membership - $30 for the 2016-2017 season (discounted price $20*)

Supports BRS; pay reduced price when you attend an ensemble session or workshop.

Ensemble membership - $155 for the 2016-2017 season, including 9 meetings (discounted price

$135*)

Includes basic membership plus all nine ensemble sessions; pay reduced price for workshops

Notes:

(1) The cost of Basic membership is tax-deductible for both Basic and Ensemble members.

(2) Single ensemble session fee for Basic members: $20 per session; Single ensemble session fee for

Non-members: $30 per session

* Eligibility for Discounts (Circle one, if applicable):

Senior citizen / full time student / ARS or R/EMM member / low income

Make your check payable to Boston Recorder Society and mail it to the address below with

your completed membership and self-assessment forms [or bring both forms to your first

meeting].

Boston Recorder Society c/o Ted Live

17 Wendell Street

Cambridge, MA 02138

Page 2: BOSTON RECORDER SOCIETY 2016- 2017 MEMBERSHIP FORM

2016-2017 Membership Registration Form Boston Recorder Society

Self-

assessment of level of playing experience

Name________________________________________________

Ensemble Preference:

Please rate your preferred program for the 2016-2017 season:

____ - Beginner, intermediate or advanced recorder ensemble (also open to Flute/String)

____ - Loud instruments ensemble

Please let us know what instruments you are comfortable playing

Recorders:

Soprano _________ Alto ______ Alto Up ______ Tenor _______

Bass______ Contrabass _______ Great Bass _______

Other instruments:

Instruments ______________________________________________

Your level of ensemble playing - how would you rank yourself?

Beginner

Low intermediate

Intermediate

Advanced

How many years have you been playing the described instruments? ____________________________

Have you played in an ensemble before? _______________________________________

Is there anything else about your playing experience or interests that would help the BRS coaches place

you in an appropriate ensemble?

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________