ATPI Membership Form

Please give us your School/Office address:
Your Name:
 School/Company Name:
School/Company Address:
City:
 State:
 Zip:
Work Phone:
 E-Mail Address:


Please give us your Home address:
Address:
City:
 State:
 Zip:
Home Phone:
  


Where would you like correspondence sent?
Home Address Work Address


Please tell us your Teaching Area:


Please indicate the organization(s) you wish to join:
I am joining the Association of Texas Photography Instructors (ATPI) - $15
I am joining the Photo Imaging Education Association (PIEA) - $35
I am joining the Texas Assoc. of Journalism Educators (TAJE) - $20
I am joining the Journalism Education Association (JEA) - $50
I am joining the Southern Interscholastic Press Association (SIPA) - $30
  Total Amount Enclosed:

Print this form using the print command in your browser. Mail it, along with your check, to:
ATPI - P.O. Box 121092 - Arlington, TX 76012