Membership Application

Download our Membership Form to mail in, or fill out our online version below:

Please Choose Membership Type:

 

First Name (required)

Last Name (required)

E-mail (required)

Address

City

State/Province

Zip/Postal Code

Country

Phone


Name of School

AMI Elementary Diploma
AMI Training Center (required):

Diploma Number (trainees, leave this blank):

Year of Graduation (trainees, enter estimated month and year of graduation):

Above information (except Diploma Number)
may be included in the AMI-EAA Directory.


I would be willing to:
Serve on the AMI-EAA Board

Make a presentation at a summer conference
Topic:

Work as on-site coordinator for:


I am paying via:
CheckPayPal

PAYMENT BY CHECK
Membership $50
Student Trainee $0 (free)
New Grad $0 (free)

Make check or money order payable to AMI-EAA and mail to:
AMI-EAA Membership
POB 10761
Spokane, WA 99209

PAYMENT BY PAYPAL* (includes convenience fee, payment button below)
Regular $51.50
Trainee $0 (free)
New Grad $0 (free)


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Membership Payment


Membership Types



Consider a Donation to AMI-EAA

Support AMI-EAA, the Margaret E. Stephenson Fund, Inc., or the Elementary Trainers-in-Training Fund.