Membership Application

Branch# 44075

_____ YES! Enroll me as an ACEI Member today!

Membership includes a FREE subscription to Childhood Education and the ACEI Exchange (except for Basic Membership, which includes a free subscription to the Professional Focus Publications of your choice, instead of Childhood Education); FREE enrollment in a local and/or state/province/country Branch; discounts on the Journal of Research in Childhood Education, Professional Focus Publications, publications, conference registration and financial services; leadership opportunities; voting privileges; and more.

Please print the following information

Name ______

Address ______

______

City ______State/Province ______

Zip/Postal Zone ______Country ______

Daytime Phone Number ______

Email address ______

ACEI MEMBERSHIP DUES $_____

____ Professional--$45
____ Retired--$23
____ Student --$29 (Copy of current Student ID Required) ______
____ Basic (Does not include Childhood Education) --$22
____ Institutional subscriptions to Childhood Education - $65

POSTAGE OUTSIDE THE UNITED STATES--Please add $14.00

PROFESSIONAL FOCUS PUBLICATIONS SUBSCRIPTIONS ($30 nonmembers, $15 ACEI members)

* Focus on Infants (ages birth-3)-- $_____
* Focus on Pre-K and K (ages 4-6)-- $_____
* Focus on Elementary (ages 7-10)-- $_____
* Focus on Middle School (ages 11-13)-- $_____
* Focus on Teacher Education (for teacher educators)-- $_____

* Focus on Inclusive Education (for teacher of children with special needs)-- $_____

POSTAGE OUTSIDE THE UNITED STATES--Please add $6.00 per publications

JOURNAL OF RESEARCH IN CHILDHOOD EDUCATION

Quarterly beginning October 2003 SUBSCRIPTION $_____
____ Members--$39.00
____ Non-Members--$79.00

POSTAGE OUTSIDE THE UNITED STATES--Please add $16.00 $_____

TOTAL PAYMENT $_____

METHOD OF PAYMENT

____ Check payable to ACEI enclosed. (Checks must be drawn on a U.S. or Canadian bank. Canadian checks may be written in U.S. funds or equivalent Canadian dollars--based on current exchange rate.)

Credit Card: ____ VISA ____ MasterCard

Card Number ______

Expiration Date ______Daytime Phone ______

Cardholder's Signature______

Bill me using purchase order number ______(Original Purchase Order required)

Please return this form to:

Association for Childhood Education International
17904 Georgia Ave., Suite 215, Olney, MD 20832 USA

·  PHONE 1-800-423-3563

·  FAX 1-301-570-2212

·  E-MAIL