ALASC Membership Form

ALASC Membership Form
Please complete this membership form for your Student Council/SGA to become a member of the Alabama Student Council Association.

If you have questions or need more information, please contact us at (800) 239-3616 or email katrina@clasleaders.org.

The Alabama Student Council Association is sponsored by the Alabama Association of Secondary School Principals (AASSP).
Contact Information
School Name*
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Principal's Name*

First NameLast Name
Sponsor Name*

First NameLast Name
Sponsor Email*
example@example.com
Sponsor Phone (with area code)*
Please enter a valid phone number.
YesNo
Additional Sponsor Name*

First NameLast Name
Additional Sponsor Email*
example@example.com
Additional Sponsor Phone (with area code)*
Please enter a valid phone number.
Select Membership Type
prevnext( X )
Regular Membership
Includes advisor's workshop and newsletter.

$95.00



Silver Membership
Includes all regular membership benefits, recognition in program, a certificate, and a $30 donation to the scholarship program.

$125.00



Gold Membership - Best Value
Includes all silver benefits, a $55 scholarship donations, and COMPLIMENTARY advisor registration for every 10 student registrations to the ASCA Spring Conference.

$150.00



Total

$0.00
Billing Organization*
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Purchase Order Number
Checks should be made payable to:

ASCA
PO Box 428
Montgomery, AL 36101-0428
Should be Empty:

ALASC Membership Form

Please complete this membership form for your Student Council/SGA to become a member of the Alabama Student Council Association.

Contact Information

Checks should be made payable to:

ASCAPO Box 428Montgomery, AL 36101-0428

ASCA
PO Box 428
Montgomery, AL 36101-0428