IDEA Yearly Membership and Conference Form
Please fill this form out each year before attending the fall conference or the spring competition to complete your membership. Yearly dues are $20 on or before the fall conference and $40 after that.
What is your first name? *
Your answer
What is your middle initial?
(Optional)
Your answer
What is your last name? *
Your answer
What is your phone number (Cell or home)?
111-111-1111 format please (Optional question)
Your answer
What is your email? *
Your answer
What school or business are you part of? *
Your answer
What is the address of your school or business? *
Your answer
What is the city?
Your answer
What is the state? *
What is the zip code?
Your answer
What is the phone # to the school or business? *
111-111-111 format please
Your answer
Phone Extension?
(Optional)
Your answer
How are you involved with education? *
How many years have you been a member of the IDEA? *
Your answer
Do you give us permission to post the information above excluding your personal phone number on the IDEA website? *
Are you attending the fall ITEC/ITEC Conference? *
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