Illinois Music Educators Association 2010-2011 MEMBERSHIP APPLICATION
Illinois Music Educators Association 2010-2011 MEMBERSHIP APPLICATION
Yes, I want to join NAfME and IMEA. I understand that membership extends for one year from the date dues are received. Credit card holders may join by calling NAfME Member Services 1-800-828-0229, Monday-Friday, 8:00 –4:30 , Eastern Time.
New Member
Renewal ID# _____________________ Exp. Date _______ Contact Information:
Please type or clearly print the information below.
Name ______________________________________ Street ______________________________________ City ______________________________________ State _________
Phone ______________________________________ Email ______________________________________
Name ______________________________________ Street ______________________________________ City ______________________________________
IIMEA District (Circle One): 1 2 3 4 5 6 7 8 9 State _________
Zip ________________________
Phone ______________________________________ Email ______________________________________ Preferred:
Address Home Teaching Level
Preschool Elementary
Junior/Middle School Senior High School College/University Administrator/ Supervisor
Private/Studio Work Email Home
Please check your area(s) of interest: Teaching Area(s)
Chorus/Voice Teacher Education Band
Orchestra Show Choir Guitar
General Music Learners with
Instrumental Jazz Vocal Jazz Technology
Theory/Composition Early Childhood History
Exceptionalities Marching Band Research
Mariachi Have you ever been a: Tri-M Member 28 Collegiate Member
Return this form with payment and make checks payable to: NAfME • 1806 Robert Fulton Drive, Reston, VA 20191 Fax: 888.275.6362 • Email:
mbrserv@menc2.org
Illinois Music Educator | Volume 72 Number 1 Work
Membership Enrollment: Rates expire 05-31-2012
Active Membership Dues* (National and State) $ 106.00 Retired Membership Dues* (National and State) $ 54.oo
Spousal Membership Dues* (National and State) $ 86.oo *includes subscriptions to Music Educators Journal, Teaching Music, and the Illinois Music Educator.
Zip ________________________
Membership dues are non-refundable and are not tax deductible as charitable contributions.
Options:
Society for Research in Music Education $ 37.00 (NAfME/IMEA Membership is a prerequisite.)
Tax Deductible Contribution to the Fund for the Advancement of Music Education $ to support (select one):
Music in Our Schools Month Advocacy
Teacher Recruitment and Retention Student Programs
Wherever it’s most needed! Total Enclosed $
Please charge my (check one): MasterCard
Visa American Express Discover
Name (Print) _________________________________ Card Number _________________________________ Expiration Date
__________________ CVC # ________ Signature _________________________________
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