MEMBERSHIP FORM
Last Name
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First Name
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Home Address
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City
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State
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Zip Code
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Home Email Address
Phone Number
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School Division
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School Name
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School Address
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School City
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State
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Zip Code
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School Email
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CTE Subject
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Administration
FACS
Position
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Teacher
University Teacher
Retired
Student
Administrator
Membership Level
*
Professional Choice 1 - ACTE $80; Virginia ACTE $25; VATFACS $25; NATFACS $20 = $150
Professional Choice 2 - Virginia ACTE $25; VATFACS $25 = $50
Full Time Student - ACTE FREE; Virginia ACTE $5; VATFACS/NATFACS $5 = $10
Retired Option 1 - ACTE $31; VACTE $5; VATFACS $10 NATFACS $10 = $56
Retired Option 2 -VATFACS $10 VACTE $5 = $15
Payment Method
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Cash
Credit Card (go below the 1st submit button to pay)
Check
Check Number
Only click button below if you are paying by check!
SUBMIT FOR CASH OR CHECK PAYMENTS ONLY!
If you are submitting by Credit Cards continue below
Credit /Debit/Paypal AccountCard Payment
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Professional Choice 1 - ACTE $80; Virginia ACTE $25; VATFACS $25; NATFACS $20
$
150.00
Professional Choice 2 - Virginia ACTE $25; VATFACS $25
$
50.00
Student - ACTE FREE; Virginia ACTE $5; VATFACS/NATFACS $5
$
10.00
Retired Option 1 - ACTE $31; Virginia ACTE $5; VATFACS $10 NATFACS $10
$
56.00
Retired Option 2 - VATFACS $10 Virginia ACTE $5
$
15.00
Retired Option 3 - VATFACS $10
$
10.00
Total
$
0.00
SUBMIT FOR CREDIT/DEBIT CARD PAYMENT - PAYPAL
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