AIPA Membership & Contest Registration

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Use this form if you have not already joined for this school year. Membership is valid from September 1 - August 31.

Mail membership registration fees to:

AIPA : 3241 E. Shea Blvd Suite 174 | Phoenix, Arizona 85028-3365

Email *

School/Organization Name *

School/Organization Street Address *

City *

Zip Code *

Membership for school year (choose one) *

Publication 1 Type *

Newspaper/News Magazine

Yearbook

Media

Does not apply

Adviser/Leader Name *

Publication 2 Type

Newspaper/News Magazine

Yearbook

Media

Clear selection

Publication 2 Adviser/Leader Name

Publication 2 Adviser/Leader Email

Publication 3 Type

Newspaper / News Magazine

Yearbook

Media

Clear selection

Publication 3 Adviser/Leader Name

Publication 3 Adviser/Leader Email

Membership Type *

Single Publication Membership only = $50

School-wide Membership only = $75

Affiliate Membership = $150 (price includes membership + Vendor table at convention)

JEA Adviser Membership (a portion will go to AIPA!) = $65

JEA Associate Membership (vendors and sponsors) = $80

NEW : Single Membership & Contest Registration = $100

New : School-Wide Membership and Contest Registration = $200

I will provide a PO Number which can be used for billing

Required

PO Number (if applicable)

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