SSIV Membership Registration

Sogetsu School of Ikebana, Victorian Branch

Membership application
- Membership of the Sogetsu School of Ikebana, Victorian Branch is available to practitioners and students of the Sogetsu School of Ikebana.
- Annual membership fee ($80) is due 31 January each year.
  (A discretionary quarterly pro-rata amount may be applied)
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

SuburbState

Postcode
E-mail
Contact Phone Number*
Your Sogetsu registration number if applicable
Certificate Grade
Select your diploma level
Year of first Sogetsu teaching certificate if known (4th grade Yonkyu Shihan)
YYYY
What is your flower name?
STA Japan membership

YesNo
Practising teacher

YesNo
Your current teacher
Teacher's name
SSIV Committee position (if held)
How did you first hear about us?*

Teacher/SenseiFriend/ColleagueInternet SearchWebsiteBlog PostNews ArticleInstagramOther
PRIVACY: Your information will be used only for Membership administration and branch activities. A Member List with name, suburb, phone number and email address is made available to members. Please indicate below if you wish to be included on the Member List.

If you are a practising teacher member, you may request that your name and suburb be published on the Sogetsu Victoria website.
Put me on the Member List*

YesNo
Thank you!

Sogetsu School of Ikebana, Victorian Branch
victoriasogetsu@gmail.com

PO Box 2052, East Ivanhoe, VIC, 3079
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Sogetsu School of Ikebana, Victorian Branch