For West Virginia - NAEA Membership make checks payable and mail to:

West Virginia Art Education Association

c/o Dr. Victoria Fergus

410 Lewis St.

Morgantown, WV 26505-3710 PleasePrint or type all information

_______New Membership ____Renewal Membership I.D.Number________

Name:_____________________________________________________________________

Address:__________________________________________________________________

City:___________________________State:____________Zip+4:__________________

Please check one professional level where you spend over 50% of your professional time:

____Elementary ____Middle ____Secondary ____Museum _____Higher Ed _____Supervision/Admin

Membership Categories:

ActiveEducator_____($70) Associate Non-art educator____($70) Retired_____($35)

1st Year Professional____($50) Student_____($20) Institutional_____($200)

Studies in Art Education (add $15)______

My check for ________is enclosed. Please charge my_____VISA_____Mastercard

Credit Card Number_____________________Exp.Date_________________________

Signature_____________________________________________________