MEMBERSHIP DUES FORM
(Membership year is January 1–December 31)
Please type or print
Name ____________________________________________________________________________
Organization/Firm ___________________________________________________________________
Address __________________________________________________________________________
City/State/Zip ______________________________________________________________________
Phone Fax ________________________________________________________________________
Check type of membership:
Idaho Agriculture in the Classroom AssociationORGANIZATION MEMBERSHIP: $100 - This entitles an organization or business to participate as a voting member in AITC meetings and activities. Please designate the name of the individual who will represent your organization or business. This individual will receive all mailings on behalf of the membership unless we are otherwise informed.
INDIVIDUAL MEMBERSHIP: $50 - This entitles an individual to participate as a voting member in AITC meetings and activities.
DONATION: A generous gift from an individual, business or organization for the continuation of the AITC program.
_______________________________________________________________________________________________________
Print this page out, Then send it in to the below address.
Please make checks payable to Idaho Ag in the Classroom Association.This form and check may be returned to: