21/22 NMAEA Individual Membership Order Form
This is an Individual Membership Order Form for one person that is paying themselves.
Included in Membership for each individual in the group:
1. NMAEA Membership
2. COABE Membership
3. Mountain Plains Membership
4. NMAEA 2021-22 Teachers Institute
5. Discount for Annual NMAEA Conference
$25 per individual
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What Program are you affiliated with?
PAYING BY CHECK: Please Make out your Check to NMAEA Send to: Susan Yasenka, NMAEA Treasurer PO BOX 55 Mesilla Park, NM 88047 ENTER BELOW THE DATE YOUR PAYMENT WILL BE MAILED. (PAYMENT IS DUE IN TWO WEEKS)
PAYING BY CREDIT CARD
CLICK HERE TO REQUEST A PAYPAL INVOICE SENT TO YOUR EMAIL BELOW
Contact info of Registrant
A copy of your responses will be emailed to the address you provided.
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This form was created inside of NM DELT (Distance Education and Learning Technologies).