IASCE Membership Application

To become a member of IASCE, fill out the form below. There are three ways to submit a membership application.

  1. Mail the form, along with a check or money order, to the address at the bottom of this page.
  2. Fax the form, with the requisite credit card information, to 1(866) 883-9271.
  3. Email the form, with the requisite credit card information, by clicking the "Submit" button at the bottom of the page.

If you are applying for more than one membership, please submit a separate form for each membership desired.

Name
Address
City
State/Province
Zip/Postal Code
Country
E-mail
Telephone

TYPE OF MEMBERSHIP

Basic Individual Membership (receiving newsletter electronically):
$20 (one yr) $35 (two yrs) $50 (three yrs)

Basic Individual Membership (receiving newsletter by post):
$30 (one yr) $55 (two yrs) $80 (three yrs)

Institutional Memberships (you will receive the newsletters by post):
$35 (one yr) $65 (two yrs) $95 (three yrs)

Total to be charged or mailed:

METHOD OF PAYMENT
Check      Money Order      Credit Card
(Please remit checks or money orders in U.S. funds.) If you are submitting a membership form via email and wish to pay by check or money order, please mail a copy of this form, with the payment, to the address below. Your membership will be processed once the form and payment have been received. When paying by credit card, please submit the form electronically.

Credit card

Number

Expires


MAIL
IASCE - Cooperative Learning
ATT: Kathryn Markovchick, Syntiro
11 South Road
Readfield, ME 04355

FAX
(866)883-9271
Country Code 001

OFFICE EMAIL
office@Syntiro.org (please put “IASCE” in the subject line)



Thank you for your interest in IASCE membership!