Montessori Membership Form | Association Montessori International USA

Select:

Renewal
New

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

Membership renewals are non-refundable.

Membership Renewal

Price:

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.

Other Amount

OR Recurring Monthly Gift amount

(first payment drawn upon submittal and subsequent payments drawn on the same day the first business day of each month.)

Other amount:

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

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

Total

$0.00

Credit Card Information*

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Card Number Expiration Date Security Code Cardholder Name

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