Student Member – Illinois Art Education Association

Price:

$15

First Name: First Name Required

Last Name: Last Name Required

Address Line 1:* Address Line 1 is Required

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City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

School / Institution Name:* School / Institution Name is Required

Contact Email Address:* Contact Email Address is Required

Teaching Level / Job Alike:* Teaching Level / Job Alike is Required

Council Region:* Council Region is Required

Are you a licensed Illinois Educator?:* Are you a licensed Illinois Educator? is Required

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Student Verification: Student Verification is not valid

NAHS/NJAHS Sponsor?:* NAHS/NJAHS Sponsor? is Required

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Description	Amount
Student Member – Payment	$15.00
Total	$15.00

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