TAAE - Campus Membership Application / Renewal Form for 2017-2018

Membership Year is October 1st, 2017 Through September 30th, 2018.

Membership information will be published in the website Membership Directory
and will be used for all TAAE mailings.

Type of Application: - Required New Campus Renewing Campus
ISD Name: - Required
Campus Name: - Required
Campus Address1:
Campus City, State, Zip Code: ,
Campus Phone: - Required
Campus Fax:
Campus Website:

Campus Membership Dues 1 - 10 Members -   $300.00
11 - 30 Members - $400.00
31 - 50 Members - $600.00

I hereby offer permission for TAAE to communicate electronically:

TAAE Annual Membership Expires on September 30th of each year.

Enter PO Number if the Campus is to be billed. You will not be directed to online payment.
Enter Campus Purchase Order #:

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

Contact Last Name: Contact First Name: Contact Title: Contact email:

Please enter the Rest of the Member Names
and Information

Last Name First Name Teacher/Staff Campus Email Address

www.taae.org  ●  1-877-258-8223  or 1-877-ALT-TAAE
1306 A West Anderson Lane, Austin, Texas 78757