TEEA Membership Form

 

 Check this box if this is a change of address
Prefix   
First Name   
Last Name   
Home Address 1   
Home Address 2   
City   
State and Zip    -
Home Email   
Day Phone    --
Cell Phone    --
Fax    --
School Name   
 

TACTE and TEEA Membership Fee
TACTE dues   $20.00
TEEA dues   $5.00
Total Amount   $25.00
 

Make checks payable to TACTE.  Print out application form and mail with check to Dr. Tom D'Apolito, 4th Floor Andrew Johnson Tower, 710 James Robertson Parkway, Nashville, TN 37243-0383