PLEASE PRINT THIS FORM--DO NOT submit this form electronically. Fill it out then print it, or print it and fill it out manually. Then mail the completed form with your annual membership fee. Thank you.
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Enter Your Name:
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Referred by: *(MIP# or name)
MEMBERSHIP (Please check one)
$100ACTIVE (hold teacher certification)
$100ASSOCIATE (employed in education without teacher certification)
$25STUDENT (enrolled in a certification program)
$25AFFILIATE (business/organization/individual)
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