21/22 NMAEA Individual Membership Order Form

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This is an Individual Membership Order Form for one person that is paying themselves.

Included in Membership for each individual in the group:
1. NMAEA Membership
2. COABE Membership
3. Mountain Plains Membership
4. NMAEA 2021-22 Teachers Institute
5. Discount for Annual NMAEA Conference

Cost:
$25 per individual

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Mailadresse *

What Program are you affiliated with?

What is your position in adult education?

PAYMENT METHOD

CHECK

CREDIT CARD

Ryd markering

PAYING BY CHECK: Please Make out your Check to NMAEA Send to: Susan Yasenka, NMAEA Treasurer PO BOX 55 Mesilla Park, NM 88047 ENTER BELOW THE DATE YOUR PAYMENT WILL BE MAILED. (PAYMENT IS DUE IN TWO WEEKS)

ÅÅÅÅ

What is your mailing address?

PAYING BY CREDIT CARD

CLICK HERE TO REQUEST A PAYPAL INVOICE SENT TO YOUR EMAIL BELOW

Ryd markering

Contact info of Registrant

Your name *

Phone number *

E-mail

En kopi af dine svar sendes som mail til den mailadresse, du har angivet.

Send

Ryd formular

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Privatliv Vilkår

Denne formular blev oprettet inden for NM DELT (Distance Education and Learning Technologies). Rapportér misbrug

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