APPLICATION FORM

I hereby apply for membership in the American Federation of Teachers and its state and national affiliates. Membership includes a $1,000,000 liability policy, access to legal and moral support, and national AFT publications.

Name_________________________________________e-mail___________________________

Home Address ____________________________________________________________________

School_________________________________________________________________________

Phone____________________________(home)__________________________(office)

Visit our website at www.home.roadrunner.com/~nickgier/ift.htm 

Please return this form to Robert Dickow, School of Music, University of Idaho, Moscow, 83844-4015.

Monthly dues are $22.00, paid at least in quarterly installments of $66, sent to Robert Dickow above.