American Irish Teachers Association
Membership Form

Check Applicable: Regular & Associate    $15 [     ]    Family  (2) $25   [      ]    Change Address    [    ]

First Name: __________________M.I. ­­­­_____Last Name: ____________________
Affil / Company (if not to home): ________________________________________
Address: ______________________________________________Apt#:________
City: ___________________      State: ___________________    Zip+4:_________
Home Phone: ____________________            Work Phone: __________________
E-mail: __________________________  Enclosed is my check for: _____________
Applicable Years: ___________________

 Contact Doris Marie Meyer for mailing instructions

​Click here to download a membership form to print out