2016-2017 IAAE Membership Form
Please complete the following form. Upon completion your payment can be made by either of the following methods:
1) Using PayPal via the following link: http://www.indianaaged.org/duesform.html
2) Mail a check to the IAAE Treasurer at:
4533 South Schnell Road
Birdseye, IN 47513

If you have any questions you may contact either Scott Johnson, IAAE Executive Director, or Annette Applegate, IAAE Treasurer.

NAAE/IAAE Membership Type
Prefix (Mr., Mrs., Ms., Miss)
Your answer
Last name
Your answer
First name
Your answer
Middle name or initial
Your answer
Home street address
Your answer
Home city
Your answer
Home state
Your answer
Your answer
E-mail address
Your answer
Home phone number
Your answer
IAAE/NAAE has my permission to distribute my home address and telephone number to other ag teachers via the online Indiana Ag Teacher Directory.
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