Registration Form (Print out this form)
Membership Year: ____ New( ) Renewal ( )
Name: ________________________ Title: ___________________________
Address: ___________________________ _______________________________
City: _____________, State: ___ Zip: _______
Telephone Number: (Work) ____________ (Fax) _______________
Email Address: __________________________
Dues Categories
Individual Memberships:
Individual Teacher Memberships: ($10.00) _______
Individual Non -Teacher Memberships: $25.00 ________
Rural School Group Memberships:
10 - 20 Members from one school: $8.00/each
21 - 50 Members from one school: $7.00/each
51 - 100 Members from one school: $6.00/each
100+ Members from one school:
$5.00/each
Educational Institutional Memberships:
(District
Offices, College Education Departments, State Agencies)
1 - 5 Members: $125.00
6 - 10 Members: $225.00
11 - 20 Members: $475.00
21+ Members: $600.00
Business Affiliate Membership:
Teacher Memberships: $45.00
All other Individuals: $110.00
(For Group or Institutional Membership: Attach a separate list of names and addresses and designate on contact person to receive SCARE information.)
Make Checks Payable: South Carolina Association for Rural Education (SCARE)
Mail to.............................: 500 Ridge Street, St. George, SC 29477
Last modified on
02/03/2006
.
This page is maintained by Bob Spalding of
Spalding Computer Services.
