KAEA Membership Form: Join or Renew

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Membership Type--Choose 1 *

Active Membership--$45.00

Pre-Service Membership--$20.00

Retired Membership--$20.00

Other:

What levels do you teach? Check all that Apply *

Pre-K

Elementary

Middle Level

Secondary/High School

Higher Education

Museum Education

Administration Supervision

Currently a Pre-Service Student

Retired Art Educator

Non-Teaching Art Education Supporter

Required

First Name *

Last Name *

Street Address, City and Zip Code (PLEASE REMEMBER THE CITY AND ZIP CODE) *

Phone Number

Preferred E-mail Address *

Secondary Email (work or personal--mostly in case a work email is blocked)

Payment Method--Choose 1 *

Credit Card--Active Membership: I understand that I will be sent a link to pay $45 and am expected to pay within 3-5 days of receipt

Credit Card--Pre-Service OR Retired Membership: I understand that I will be sent a link to pay $20 and am expected to pay within 3-5 days of receipt

Check: Must be mailed immediately to Martha Riddle, KAEA Bookkeeper 2800 SE Pennsylvania Ave. Topeka, KS 66605

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