2011 - 2012 GVATA MEMBERSHIP APPLICATION


First Name:M/I:Last Name: 
School:
School System:
Ag. Ed. Region:Area: 
School Address:
School City:
School State:
School Zip:
School Phone:School Fax: 
School Email:
Superintendent:Principal:  
CTAE Director:
Home Address:
Home City:
Home State:
Home Zip:
Home Phone:Cell Phone:  
Personal Email:Years Completed: 


DescriptionSelectFees
GVATA/NAAE Professional Dues:$75.00
Summer Conference Registration (Member):$75.00
Summer Conference Registration (Non-Member):$150.00
Lunch Guest (Must have badge/ticket to enter):$25.00
GA FFA Alumni Association:$15.00
ACTE/GACTE:$130.00
NAAE Legislative Fund:$10.00
Agriculture Education Magazine:$10.00
GVATA Flower Fund:$3.00
The Council:$2.00
GVATA PRC: 
FSVU Alumni Dues:$3.00
FFA Foundation Donation: