2017-2018 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: www.indianaaged.org
* Winter Inservice Registration will be $50
* Please note that there will be a 3% service fee added for all Paypal transactions

2) Include with Winter Inservice Registration for a total of $135 (Paid in December/January)
* Non-member Winter Inservice Registration will be $150

3) Mail a check to the IAAE Treasurer at:
IAAE Treasurer
505 Concord Lane
Carmel, IN 46032

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

For those who completed the IAAE Membership Form in 2016-2017 whose information hasn't changed, please just complete Section 1 of this form only.
All others and those whose information has changed please complete the entire form.
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
Zip *
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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