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Membership Form
Association of Teachers of Agriculture of New York


Association of Teachers of Agriculture of New York

Name __________________________________________ Date _____________________

Home Address: ____________________________________________________________

_________________________________________________________________________

Home Phone________________________________________________________________

Years of Service to Ag. Ed. ___________________
Years of NYAAE Membership _________________

Dues:

NYAAE regular ($60)     ______________

1st Year Teacher ($25)    ______________

Students($5)                    _____________

NAAE ($60)                     _____________

Ag. Ed. Magazine
Subscription

($10)                                 ____________
Total Amount
Enclosed                  _________
                                                               Please mail payment to:

NYAAE
c/o Pat Walker
3801 Sprague Hill Rd
Falconer, NY 14733

Make Checks Payable to NYAAE