TAAT Membership Form

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*The TAAT is a non-profit organization designed to provide information and support to those working with children with special needs. Membership in the state association is free. Complete the enrollment form today to receive additional information and notices regarding educational opportunities in your area, as well as the annual state conference. *Our privacy policies prohibit the sharing of any contact information provided.

Date:

Last Name

First Name

Street Address:

City

State

Zip Code

eMail Address:

*for confirmation and information related to TAAT events

Phone Number:

Job Title:

Teacher

SLP

AT Specialist

Administrator

Student

Parent/Family member

Vendor of AT Products

Other:

Employer:

Comments:

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