Online Membership Application

MAME

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MAME Membership Application Using PayPal

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Renewal New Member

Name *

First

Last

School *

School District *

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PREFERRED MAILING ADDRESS:

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School Address Home Address

SCHOOL ADDRESS

Address *

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Line 2

City

State

Zip Code

Country

HOME ADDRESS

Address *

Line 1

Line 2

City

State

Zip Code

Country

SCHOOL EMAIL

Email *

HOME EMAIL

Email *

SCHOOL PHONE

Phone Number *

HOME PHONE

Phone Number *

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I am a member of:

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ISTE AASL Neither

PayPal Payment Options for Membership:

MEMBERSHIP DUES OPTIONS

INTEREST DIVISIONS (SIGS)

TITLE OF YOUR POSITION: *

AREA OF RESPONSIBILITY *

District Media Supervisor Multi-Level Assignment Elementary Middle/Junior High High School College/University Library ISD/RESA/REMC Commercial Public Library College Student Classroom Teacher Retired Other

If you prefer to pay by check, please mail checks payable to MAME to:

MAME
c/o Karen Becknell, Database Manager
26823 Shady Creek
Farmington Hills, MI 48334

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