Membership Application

 

Instructions:
Please complete the following form, and print the confirmation page. Mail or FAX the printed copy with payment to the address listed. For further information please contact: Ms. Linda Hoiseth- ELMLE Membership at email: ELmle@asw.waw.pl

For further information about joining nmsa use this link. Dual membership requires you use the following form which ensures correct international NMSA and ELMLE payment for membership.

 
DUAL ELMLE / NMSA MEMBERSHIP FORM
European League For Middle Level Education
and National Middle School Association


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Type of Memebership:   
Institutional Dual Membership
US $270 Institutional dual membership in both the European League for Middle Level Education and the National Middle School Association.
Individual Dual Membership
US $119 Individual dual membership in both European League for Middle Level Education and National Middle School Association
Membership Number:
Click here for a list of Membership numbers by School.
First Name:
Last Name: *
School Name :     *
Title or Position:
E-Mail: *
Telephone: *
Address: *
City: *
Postal code: *
Country:  *
How many middle school staff members are in your school?
 
May we share your name with other organizations requesting our mailing list? Yes No
For institutional memberships, please list 3 other names of staff members to recieve publications:
1: Name:
Email:
2: Name:
Email:
3: Name:
Email:
 
Type of Payment (Please check one):
Credit Card (Visa, Mastercard and American Express): 
Bank Draft or Cashier's Check:

Comments and special requirements:

Please note: all funds must be paid in US dollars. Any other funds could be returned for payment. Bank wire transfers are not an accepted form of payment.

Please Mail or Fax a copy of this Form and Payment to:
Re: ELMLE-NMSA Dual Membership
National Middle School Association
4151 Executive Parkway, Suite 300
Westerville, Ohio 43081 U.S.A.

If you pay by credit card, this form may be faxed to NMSA, Fax: 614-895-4750

Ms. Linda Hoiseth- ELMLE Membership at email: ELmle@asw.waw.pl