Indiana Middle Level Education Association
Membership Form  (For Joint Memberships with AMLE, please see our website)
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Name/Position *
School *
Address (#, Street, City, ZIP) *
School Phone
Please Complete This Section for an Institutional (School) Membership, or the Next for Individual Membership
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Individual Membership
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Payment (Use section that applies)  Purchase Order #
Check will be sent to IMLEA, 11025 E 25th, Indianapolis, IN 46229
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