AIRSS Organization Membership Form

Organization Membership Information Form
The work of AIRSS can only continue with your involvement. Membership support is the baseline funding that keeps the organization continually viable. AIRSS must continue to be the voice of rural and small schools, and your support is greatly appreciated.
Business or Organization Name:*
Primary Contact Email*
example@example.com
Business Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please provide the names and email addresses of up to four representatives.
Please select payment option:*

CheckDebit/Credit
Please select membership option:*

Fiscal Year (July 1 - June 30)Annual Year (January 1 - December 31)
Membership type:*

Business Sponsor - GoldBusiness Sponsor - SilverBusiness Sponsor - BronzeBusiness Sponsor - Friend of Rural SchoolsHigher Ed InstitutionROE
Please confirm membership type to pay with a credit/debit card.
prevnext( X )
Business Sponsor - Gold
$5,000.00



Business Sponsor - Silver
$2,500.00



Business Sponsor - Bronze
$1,000.00



Business Sponsor - Friend of Rural Schools
$500.00



Higher Ed Institution
$800.00



ROE
$500.00



Total

$0.00
Should be Empty:

Organization Membership Information Form