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:
IAAE
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.
sjohnson@decaturco.k12.in.us
annette.applegate@sedubois.k12.in.us

NAAE/IAAE Membership Type
Prefix (Mr., Mrs., Ms., Miss)
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Last name
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First name
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Middle name or initial
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Home street address
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Home city
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Home state
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Zip
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E-mail address
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Home phone number
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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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