Montessori Membership Form | Association Montessori International USA

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Renewal
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Contact Information

Member ID

Name*

First Name Middle Name (optional) Last Name

Address*

Email Address*

Would you like to supply an additional email address to be used for our communications?

Yes
No

Email*

Phone*

This is my:

Home phone
Work phone
Cell phone

Would you like to supply another phone number?

Yes
No

Phone

This is my:

Home phone
Work phone
Cell phone

School / Organization*

Type N/A if not associated with any school or organization.

Directory & Communication Preferences

Directory Listing Options*

Include complete listing
Withhold information

Please indicate your listing preference in the AMI/USA Directory

Directory Withholding*

Withhold email address
Withhold phone number
Withhold mailing address

If all (email, phone & mailing address) are selected, you will not be listed in the AMI/USA Directory.

Communications Preference*

Include me in all AMI/USA email communications
Remove me from your email list

Comments

Any comments for AMI/USA

Payment

Yearly Membership Fee

Membership Renewal*

Price:

Membership renewals are non-refundable and non-transferable

AMI/USA Annual Fund - Yes! I want to add an additional amount to support AMI/USA in guiding Montessorians to realize and manifest the rich Montessori pedagogy as an aid to life and a means for children to attain their full human potential.

$19.72 (Gift Amount)
$50 (Gift Amount)
$500 (Gift Amount)
$1,000 (Gift Amount)
$1,972 (Gift Amount)
Other

Other Amount

Please direct my gift to create impact in the following way:

AMI/USA Annual Fund
Sanford Jones Fund for the Arts
Other

Other/direct my gift to:

Total

$0.00

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