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Register for CTEA
membership by filling out this form and
e-mailing it.
Then use the
PayPal button for payment.
If you are retired,
please type "retired" in the school name
box.
First
Name
Middle Initial
Last Name
Email
Address
School
Name
School
Street
School City
School State
School Zip
School Phone
Home Street
Home City
Home State
Home Zip
Home Phone
Membership for one year is $30. Retirees membership
is $20.00
Email
completed form to:
Paul Hoffman,
Past President, Treasurer and Membership Chair
phoffman01@optonline.net
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