International Alliance of Teacher Scholars Membership

To become an IATS member please fill out and submit the following form:

Contact info

First Name:

Middle Name/Initial:

Last Name:

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Institution:

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Country:

Work phone #: (include country code if outside US)

Fax #: (include country code if outside US)

Cell phone #: (include country code if outside US)

Email:

Membership Fee

Billing

Check (US funds only, please, payable to IATS)

IATS’s Federal ID Number is 25-1741294. Please mail a printout of the completed form along with your check to:

International Alliance of Teacher Scholars, Inc. (IATS)
PO Box 88-1239
Los Angeles, CA 90009

Visa
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American Express

Credit card details

(Note: If you do not wish to submit your credit card information online, you may print a copy of this completed form, write in your credit card information, sign it, and mail it to the address above.)

Account Number:

Expiration Date:

Signature
(if mailing):
________________________________________

My billing address is the same as the one above (otherwise, complete this section)

First Name:

Last Name:

Address:

City:

State/Prov.:

ZIP/Postal Code:

Country:

Phone #: (include country code if outside US)

Other comments/requests:

STOP! Before you submit this form, please review your information, and then print a copy for your records.

International Alliance of Teacher Scholars

Twenty-Two Years of Presenting the Scholarship of Teaching and Learning

International Alliance of Teacher Scholars Membership

Membership Fee

International Alliance of
Teacher Scholars