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Membership Application
Join Indiana ASCD
In the spaces provided, please submit the requested information.
First name
*
Last name
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Zip
Phone
*
Email
*
District/organization/corporation
School name
School address (only if you wish materials to be sent here)
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Zip
Position/content area/grade level
Years of experience in education
Membership
*
New member ($35.00)
Renewing member ($35.00)
Membership purchase total
$0.00
Payment will be made by:
*
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Credit or Debit Card (via secure Paypal - Paypal account not neccesary)
Check (payable to Indiana ASCD)
Phone
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