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Suffolk Association for Continuing/Community Education
Application for Membership
2010
Please print this form, complete and send to the address below:
Name: _________________________________________
Position: ________________________________________
School/Agency Affiliation:
Address:________________________________________
Business Telephone:_________ Home Telephone:___________
Home Address:_________________ E-mail: ___________
Type of Membership
| Organizational* |
$75.00 |
| Administrator/Program Coordinator |
$30.00 |
| Teacher |
$20.00 |
| Retiree |
$10.00 |
Please remit your dues via check, money order, or purchase order payable to SACCE.
Mail to: Stephanie Engelmann
SACCE Membership
17 Westminster Avenue
Dix Hills, New York 11746
(631) 667-6000 x 327
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Mark Your Calendar
for the next Adult Learning Conference
Oct. 16, 2010 |
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