MEMBERSHIP

Join us today!!!

**Student Members, you MUST submit verification of your enrollment in a University Pre-service education program***

If you are paying by money order or check, print the form below and send it with your check payable to KATM to:

Margie Hill
KATM-Membership
6701 W. 194th Street
Stilwell, Kansas 66085

Name_______________________________________________________________________

Address_____________________________________________________________________

City________________________________________________________________________

State_______________________________________________________________________

Zip________________________________

Home Phone________________________

e-mail___________________________________________

Position: (Check only one)

Parent
Teacher, Level(s)________
Dept. Chair
Supervisor
Other__________

KANSAS ASSOCIATION MEMBERSHIPS
Individual Membership: $15/yr. ___
Three Years: $40 ___
Student Membership: $ 5/yr. ___
Institutional Membership: $25/yr. ___
Retired Teacher Membership: $ 5/yr. ___
First Year Teacher Membership:$5/yr. ___
Spousal Membership: $ 5/yr. ___
(open to spouses of current members who hold a regular Individual Membership in KATM)

Send form with your check payable to KATM to:

Margie Hill
KATM-Membership
6701 W. 194th Street
Stilwell, Kansas 66085

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