SSIV Membership Application

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 May each year.
  (A discretionary quarterly pro-rata amount may be applied)
The purposes of the association are to —
- promote the advancement of ikebana in the area (Victoria, Australia)
- contribute to the growth of society and
- contribute to the improvement of their members in techniques and expertise of ikebana
- promote the values of the Sogetsu School of Ikebana through teaching, workshops and exhibitions
I wish to apply for membershipI agree to support the purposes of the Sogetsu School of Ikebana Victorian Branch
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

SuburbState

Postcode
E-mail
Contact Phone Number*
Certificate Grade
Select your diploma level
Year of first Sogetsu teaching certificate if known (4th grade Yonkyu Shihan)
YYYY
Are you a paid member of Sogetsu Teachers Association (STA) Japan?
Your STA registration number if applicable
What is your Gagoh - flower name?
Are you a practising teacher*

YesNo
Your current teacher*
Teacher's name
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 Contact List with name, suburb, phone number and email address is made available to members. Please indicate if you wish to be included on the Contact List.
Please put me on the Member Contact List*

YesNo
Active teachers only-Please put my contact details on the website

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