Affiliate Membership Application 2019-2020
It is time to renew your AGATE Affiliate memberships for 2019-2020!
If you are a new group just getting started, welcome aboard! If you are renewing your membership, thank you for your continued support for gifted children in our state. AGATE is always excited to have groups working toward the goal of meeting the needs of gifted and talented youth in Arkansas.
After filling out this form, please "submit." Your application will be received by AGATE's Affiliate Director, Monica Meadows at
Finally, you may pay your dues via the paypal link at the end of this form, or mail a check for $60 for affiliate dues to Debbie Dailey, AGATE Affiliates, PO Box 250754, Hillcrest Station, Little Rock AR 72225. On the memo section of the check, please write your affiliate name.
If you need help with any part of this process please contact Monica Meadows
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This form was created inside of University of Central Arkansas.