On Line Membership Application

Idaho Middle Level Association

To complete your Membership Application you must mail in your check or purchase order!

 

Select One

 

Principal's/Individual's Name 

 

Principal's e-mail address            

 

School District Name  District Number        

 

School Building Name

 

School Mailing Address 

 

City   State            Zip       

 

School Telephone Number        

 

Region (Select One) 

 

IMLA Building Teacher Liaison 

 

Email Address

 

Select the Correct Category for Membership Dues

 

  Purchase Order #  

 

Mail Payment or Purchase Order to:

Bev Bradford

IMLA Executive Director

P.O. Box 190869

Boise, ID 83719

FAX 886-729-4861

 

 

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