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2017 - 18 TBTEA Membership Form
Join TBTEA for conferences, networking, resources, and publications and much more!
Mail all checks to: David Loper, 624 Brown, Jacksonville, Texas 75766

To pay with PayPal, go to tbtea.org/paypal.html. Be sure to complete the form below though.

Last Name *
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First Name *
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Home Street Address
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Home City
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Home Zip Code
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Name of School or Business *
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School Street Address
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School City
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School Zip Code
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Preferred Phone Number
your preference
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Home or School E-mail Address *
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CTSO Affiliation
TBTEA State Committee(s) you are willing to serve on.
Professional Affiliation *
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Position held: *
Membership Choices *
NOTE: 40 year continuous membership in TBTEA entitles members to lifetime dues paid.
Form of Payment *
Total Payment Due *
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