Membership Name(district):

Contact Name:

Position/Title:

Street Address:

City: State: ZIP:

E-mail Address:

Business Phone:  Fax: 

District ADM:

Membership Classification (choose one)
$400.00 School District / Educational Membership
       Included is both annual membership in the ISRSA, and one individual membership
       in the National Rural Education Association in support of the NREA moving to Indiana
       and their national advocacy efforts in the area of rural educaiton.

$700.00 School District / Educational Membership
       Join both the Indiana Small and Rural Schools Association & the National Rural Education Association as a district member.

$35.00 Friends of Indiana Small and Rural Schools
       (available to non-educational organizations/individuals)


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