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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 _________________________________


WORK


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