TAAE - Individual Membership Application 2017 - 2018

Membership Year is October 1, 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 Member Renewing Member
First Name: - Required
Middle Name or Maiden Name:
Last Name: - Required
Subject Taught:
School District: - Required
School Name:
School Address: - Required
Campus City/State/Zip: - Required ,
School Phone:
School Fax:
School E-Mail:
School Website:
(You must enter either a school email or a home email.)
Home Address:
Home City /State / Zip Code: ,
Home Phone:
Home Email:
Send Mail To: - Required Campus Address Home Address
I hereby offer permission for TAAE to communicate electronically:

Type of Setting: (Multiple selections allowed)

Choice Program
School Within School
Traditional School
Higher Education

AEC of Choice
About You:

Elementary Grades
Middle School
High School
Juvenile Justice Officer

Membership Dues: Individuals $40

If PO# is submitted, invoice will be mailed to school address submitted.
Enter School 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

Privacy Policy: All Credit Card Information is kept stricly confidential

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