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CAEYC Membership Form |
Please print out this application form, then fill it out, and
mail it (along with check payable to "NAEYC") to:
NAEYC Membership
P.O. Box 97156
Washington, DC 20090-7156
Or you may join online, using a credit card,
by going to NAEYC's Web Site (www.naeyc.org).
(Please print or type)
Name __________________________________________________________________
(First Name, Middle Name, Last Name)
Mailing Address __________________________________________________________
__________________________________________________________
City ______________________________________ State _____ Zip _______________
Affiliate Group Number 82
Please check: Comprehensive
.............................. $85 ___
Affiliate .......................................... $50 ___
Student
.......................................... $40 ___
Date mailed ____________________________
Renewal ______ (ID Number) ________________
New _______
Home phone (____)_________________ Work phone (____)_________________
E-mail ______________________________________________________________
Employment _______________________________________________________
Signature of College official to verify full-time student status:
______________________________________________________
Name
______________________________________________________
College
Questions or problems regarding this web site should be directed to CAEYC@ColoradoAEYC.org.