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


Cost:
$25 per individual
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Email *
What Program are you affiliated with?
PAYMENT METHOD
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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)
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PAYING BY CREDIT CARD
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Contact info of Registrant
Your name *
Phone number *
E-mail
A copy of your responses will be emailed to the address you provided.
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