Oregon and National ACTE Membership Application

Please enter the information below, print, and mail application to:

Thelma Clemons, Executive Secretary
2814 Dahlia Lane
Eugene, OR 97404

If you have questions about dues or membership categories link to the National site http://www.acteonline.org/join/index.cfmor phone or e-mail  the Oregon office (541) 668-8774..

(Please type or print legibly)
Name (first, middle, last)  
Last four Digits of
Social Security #
Home Address
City / State / Zip  / /
Telephone  Office  Home  
Fax Fax  
Email

PLEASE PROVIDE THE FOLLOWING INFORMATION

Position Title (Select  One)     

Institution Title (Select One) 

 F- Other 

ACTE MEMBERSHIP (Choose one) 
AFFILIATE $60
COMPREHENSIVE $99		 STUDENT $10
STUDENT COMPREHENSIVE $49
DIRECT $100
DIRECT COMPREHENSIVE $139		 RETIRED $31
RETIRED COMPREHENSIVE $70
LIFE $1,200
LIFE COMPREHENSIVE $39/YR
RETIRED LIFE $180		 INTERNATIONAL $100

ACTE DIVISION MEMBERSHIP
Your ACTE membership dues include membership in ONE division; please make your division choice below.
Administration (ADM) Adult Vocational Education (WWA)
Agricultural Education (AGR) CBITS (WWL)
Adult Workforce Development 
   (AWD)		 Cooperative Work Experience 
   (WWB)
Business Education (BUS) Instructional Materials (WWC)
Family and Consumer Sciences
    Education (FAM)		 International Materials (WWI)
Guidance (GUI) Makers of Policy (WWH)
Health Occupations Education 
   (HEA)		 Personnel Development (WWD)
Marketing Education (MAR) Public Information (WWE)
Special Needs (SPE) Related Subjects (WWF)
Technical Education (TEC) Research Subjects (WWG)
Technology Education (TGY) School-to-Work/Careers (WWN)
Trade and Industrial Education 
   (TRA)		 Support Staff (WWJ)
New and Related Services 
   Sections (NRS)		 Tech Prep (WWM)
Other (WWK)
Additional division memberships are $10 each. Please type in the 
additional divisions you would like to join:
DUES SUMMARY:  Enter amount of dues for each category dues summary 
National ACTE Dues
ACTE Additional Division Dues
State Membership and State Division Dues
TOTAL DUES
METHOD OF PAYMENT
  Check      Purchase Order (Must be attached)
  Discover   MasterCard    Visa   American Express
Credit Card #
Expiration Date MM DD YY
Card Holder's Name
Card Holder's Zip Code


Date  MM DD YY

 


__________________________________                 
Signature                 

 

For information about our organization contact President: Tami Ruter
or Executive Secretary: Thelma Clemons

| Home | Conference | Membership | Executive Board | Board Minutes | 
| Board Goals | Resources |  Feedback |

Webmaster: Len Eaton lene@clackamas.edu

Last updated: September 2005