Membership Renewal and New Members Form
* Required
Email address
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
What type of membership are you purchasing?
*
Regular 1 year membership = $25
Regular 2 year membership = $40
Student/Retiree 1 year membership = $15
Student/Retiree 2 year membership = $25
Home address
*
Your answer
School/Business Name
*
Your answer
Position/Grade Level
*
Your answer
Primary area of interest-check all that apply
*
Elementary
Middle School
High School
College
Adult Education
Required
Are you interested in helping CTCTE? How?
Your answer
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