2018-19 Iowa PAS Membership Form
The 2018-19 State Membership Dues will be calculated the same as previous years. The dues structure has the major advantage of allowing all students within a college's agriculture/agribusiness or natural resource program to get involved and participate without concern if the student is a National PAS member or not.

DUE DATE: Tuesday, December 1, 2018
After you have submitted this form online, please submit a check to the address below:
Make Checks Payable to: IOWA PAS

Iowa PAS
Dwayne Faidley
Iowa PAS Treasurer
1055 SW Prairie Trail Parkway
Ankeny, IA 50023

Name of Institution *
Institution Address
Advisor Name(s) *
List all advisors that would like to receive updates from Iowa PAS
Advisor(s) - Office Phone Number
Advisor(s) - Cell Phone Number
In case of emergencies during Fall or Spring Conference
Advisor(s) - Email Address
Email address for any advisors that want to receive emails from Iowa PAS
Ag Program Enrollment on October 1, 2018 *
Student Membership Dues *
Please check the box corresponding with your membership. This amount should be based on your total program enrollment listed above.
Membership Roster *
Please upload your roster in either a Microsoft Excel or PDF format. Please make sure that your college name is part of the file name so that we know who's file is who.
Is an invoice required before your school can submit membership dues? *
By clicking yes, an invoice will be sent to you directly in a short period of time
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