NATIONAL CATHOLIC EDUCATIONAL ASSOCIATION

Document Sample
NATIONAL CATHOLIC EDUCATIONAL ASSOCIATION Powered By Docstoc
					                                      NATIONAL CATHOLIC
                                   EDUCATIONAL ASSOCIATION
                                1005 N. Glebe Road, Suite 525 • Arlington, VA 22201
                                         800.711.6232 • Fax: 703.243.0025

                                          2011 MEMBERSHIP APPLICATION
                                         FOR EARLY CHILDHOOD CENTERS

❑ Yes, enroll our early childhood center as an institutional member of the National Catholic Educational Association.
     Mail all publications to which our school is entitled to me, as director/administrator, at the following address:

CENTER’S NAME:__________________________________________________________________________________________

DIRECTOR/ADMINISTRATOR:________________________________________________________________________________
                               Prefix	     Preferred	First	Name	     												MI	 																							Last	   																																	Suffix	   Community	or	Degree
ADDRESS:__________________________________________________________________________________________________

CITY:_______________________________________________________ STATE:___________ZIP:_______________-__________

COuNTRY:__________________________________________________________________________________________________

PHONE:____________________________________________________ FAX:__________________________________________

E-MAIl ADDRESS (Internet format e.g.: services@ncea.org):_______________________________________________________

wEb SITE: http://www.______________________________________________________________________________________

ARCH/DIOCESE:____________________________________________________________________________________________

Membership in NCEA includes the following benefits:
  • Momentum, the award-winning academic journal
  • Elementary Newsletter and NCEA Notes
  • Member rates for registration for the NCEA meetings
  • Member rates for NCEA publications
  • Supplemental insurance eligibility sponsored through Trust for Insuring Educators
  • Tax-deferred annuity plan eligibility offered by Mutual of America
  • Discounts on rental cars available through Alamo, Hertz and National Car Rental
  • Preferred MasterCard® for qualifying members through bank of America

Current enrollment includes:
    ❑ under three-year-olds                 ❑ Five-year-olds                                              ❑ Eight-year-olds
    ❑ Three-year-olds                       ❑ Six-year-olds
    ❑ Four-year-olds                        ❑ Seven-year-olds                                             _____ Total number of children served

Membership Dues $155.00

Signature:____________________________________________ Membership Application Date ___________________

Please check payment method in U.S. Dollars:
❑ Check enclosed $_________________ ❑ Charge $__________________ to my: ❑ Visa ❑ MasterCard® ❑ AMEX
  Account Number________________________________________________ Expiration Date ___________________
  Cardholder's Name_______________________________________________ billing Zip Code __________________
                               (please print name exactly as it appears on the card)


Signature:_________________________________________________________________________________________

				
DOCUMENT INFO