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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 $20.00TEEA dues $5.00Total 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.