One - Year
~Membership Form~
Membership must be for an individual; not a school or center
Name_____________________________________             Home Telephone____________________________

Home Address_______________________________________________________________________________

City_______________________________________  State__________   Zip Code_______________

Place of Employment_________________________________________________________________________

             
Work Telephone_______________________    E-mail_______________________________________________

Membership Level:     ____  Comprehensive $75.00                   ____   Regular $45.00                    ____Student $40.00

                                                                     
         Affiliate Number 343
Make check or money order payable to NAEYC MEMBERSHIP and mail to:
NAEYC  ~   P.O. Box 97156  ~   Washington, D.C. 20090-7156
JOIN ONLINE:  www.naeyc.org/membership
For more information call Linda DeSano Mazek at 586-977-5748
If you are interested in becoming actively involved in the functions of Macomb AEYC,
please indicate which of the following committees would interest you:

____Publication                                                                            ____Newsletter

____Month of the Young Child                                                      ____Fund Raising

____Membership                                                                           ____Workshops

____Conference

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