Application and Response

Membership (check membership desired, and enclose with payment)

Individual Membership

one year $30	two years $50	three years $70

---

Associate School Membership

one year $35	two years $60	three years $80

---

Montessori School Recognition

$10 per enrolled child ($700 maximum) (amount enclosed)*

* Reduce amount of fee paid to Society for teacher education, conferences, consultation, bulk mail shipment, and

group membership paid to Society during past 12-month period ($45 minimum)

---

Montessori Teacher Education

Yes, please send the preliminary application and course catalog   ($70)
Name and address of applicant is provided at the bottom of this form

---

Please send more information about:
Montessori school recognition
Montessori workshops
Consulation Services
Montessori teacher education
Membership
Publications
Montessori Observer (free sample copy)
Montessori News (free sample copy)
Books and Materials
IMAC Accreditation
Other (Specidy)  

---

Complete Information below.

Name	:
Telephone	:
Street	:
City	:
State	:
ZipCode	:
Country	:

E-mail Address:

Fax Number: (if you want a copy of your membership)

		Account No	:
		Expiration Month	:	*Select* January February March April May June July August September October November December	Year	:

Please review information(account number, name, address etc) you have submitted before clicking on the send button.