Individual Membership Application

TAAE Individual Membership Application

TAAE - Individual Membership Application 2021 - 2022

Membership Year is October 1, 2021 Through September 30th, 2022
Membership information will be published in the website Membership Directory
and will be used for all TAAE mailings.
Type of Application: - Required New Member   Renewing Member
First Name: - Required
Last Name: - Required
Title:
Subject Taught:
School District: - Required
School Name:
School Address: - Required
* City: - Required

* State: - Required
* Zip: - Required

School Phone: - Required
School Fax:
School E-Mail:
School Website:
(You must enter either a school email or a home email.)
Home Address:
Home City /State / Zip Code:

,

Home Phone:
Home Email:
Send Mail To: - Required Home   School
I hereby offer permission for TAAE to communicate electronically:
Type of Setting: (Multiple selections allowed)

Choice Program
School Within School
Traditional School
Higher Education
Administration
DAEP
Charter
AEC of Choice
Other: 		About You:

Administration
Elementary Grades
Middle School
High School
Teacher
Counselor
Juvenile Justice Officer
Membership Dues: Individuals $40
If PO# is submitted, invoice will be mailed to school address submitted.
Bill My School Using PO Number:  
All TAAE materials for Campus Memberships will be sent in bulk for school distribution to Campus address listed. Death / Disability Insurance program via TAAE will not apply to Campus Memberships.

Click here for information on the Low Cost TAAE Liability Program
Privacy Policy: All Credit Card Information is kept stricly confidential
Check out:

Amount Due: $0.00