22/23 NMAEA Individual Membership Order Form
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 2022-23 Teachers Institute
5. Discount for Annual NMAEA Conference


Cost:
$25 per individual

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Email *
What Program are you affiliated with?
What is your position in adult education?
PAYMENT METHOD
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PAYING BY CHECK:                                                     
Please make out your check to: NMAEA                              Send to:                                                                     
NMAEA                                                                            
3301 Coors Blvd. NW
Suite R374
Albuquerque, NM 87120  
                                                                                                    
ENTER BELOW THE DATE YOUR PAYMENT WILL BE MAILED.  (PAYMENT IS DUE IN TWO WEEKS)                                                                                                                
MM
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DD
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PAYING BY CREDIT CARD
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Contact info of Registrant
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Phone number *
E-mail *
A copy of your responses will be emailed to the address you provided.
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