NREA: Institutional Membership Form

Membership year: July 1 to June 30

Membership Period - One Year from Membership Date. Check one:

Renewal New Member

Member Name:

Date (mm/dd/yyyy):

Name of School/Agency:

Address:

Address 2:

City, State, Zip:

Telephone (include area code):

Fax:

E-mail:

Please Enter Directory Information for Each Member to be Included on the NREA Membership Mailing List.

Active Member (1):

Category:

Address:

City, State Zip:

Home Phone:

Work Phone:

Fax:

E-mail:

Active Member (2):

Category:

Address:

City, State, Zip:

Home Phone:

Work Phone:

Fax:

E-mail:

Active Member (3):

Category:

Address:

City, State, Zip:

Home Phone:

Fax:

E-mail:

Active Member (4):

Category:

Address:

City, State, Zip:

Home Phone:

Work Phone:

Fax:

E-mail:

Active Member (5):

Category:

Address:

City, State, Zip:

Home Phone:

Work Phone:

Fax:

E-mail:

Active Member (6):

Category:

Address:

City, State, Zip:

Home Phone:

Work Phone:

Fax:

E-mail:

Membership dues are $75.00 per member (minimum of three members).

Make check payable to National Rural Education Association. Mail to NREA Office: Purdue University, Beering Hall of Liberal Arts and Education, 100 North University Street, West Lafayette, Indiana 47907-2098.

NREA is a Non-Profit, Tax Exempt Association. IRS No: 23-7033384. Membership in the NREA entitles an active member to all rights and privileges afforded all other members; discounted registration fees to the NREA Conference and NREA conducted workshops, seminars, and events; subscriptions to the Rural Educator and Rural Education News; newsletters, bulletins, and correspondence mailed to the membership; and access to all services provided by the Office of the National Rural Education Association.

Once you have submitted the Institutional Membership form, you can choose from one of the following payment options.

You can pay online with a Visa, Mastercard, or Discover.

Pay Online

Or you can mail a check to:

John Hill, Executive Director
National Rural Education Assoc
100 N. University St
Purdue University
West Lafayette, IN 47907

We apologize that we cannot accept online payments from anywhere outside of the USA. Please make your payment by mailing a check to the address above. Thank you!