Alabama Leaders in Educational Technology Membership Application
Title *
First Name *
Last Name *
Employer Name *
Job Title *
Email Address *
Phone Number *
Please use this format: xxx-xxx-xxxx
Member Type
Clear selection
Primary Job Focus *
Membership status *
Membership Plan *
Premier - Includes registration fees for 2020 standard events. Select Premier Upgrade ONLY if your 2020 dues have already been paid. Honorary Member - Must request board approval.
Billing email *
PO#, if applicable
Employer Website *
Do you wish to be on the ALL_ALET Listserv? *
Delegate members will automatically be put on the Delegate listserv (CTO_ALET)
Required
How did you hear about ALET? *
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