Join the Alliance Today

Benefits from membership in the Alliance include:

To join, print and complete the form below, include a check to Michigan Alliance for Gifted Education, and mail to :

Michigan Alliance for Gifted Education
3300 Washtenaw Avenue, Ste. 220
Ann Arbor, MI 48104
 

 

Name ____________________________________________________

I would like to Join the Michingan Alliance for Gifted Education as an:

| | Individual Member (yearly dues: $25)

| | Affiliate Member (yearly dues: $15)

The name of my Affiliate is:________________________

Note: Please notify the leadership of the above Affiliate group prior to submitting this application, as each Affiliate group maintains its own membership procedures and database.

| | Institutional Member (yearly dues: $100)

Please designate up to five individuals at your institution to receive Alliance membership

1)_______________________________________________________

2)_______________________________________________________

3)_______________________________________________________

4)_______________________________________________________

5)_______________________________________________________

Home Street Address________________________________________

City/State/Zip___________________________ County____________

Work Phone (a/c)______________ Home Phone (a/c)______________

School District ________________ School ______________________

Position ____________________ E-Mail ______________________

Click here for Michigan Alliance for Gifted Education Home Page

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