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-34290022860000INSTITUTIONAL Membership ApplicationAmerican Technical Education Association, Inc.Dunwoody College of TechnologyDunwoody BoulevardMinneapolis MN 554033086100102870Benefits of Institutional Membership: ATEA media response teamMembers in the news on ATEA webpageNominations for Awards Program (Outstanding Technical Teacher, Student and Program Awards)Share and exchange ideas with business and industryThree copies of the ATEA JournalMember Spotlight—features member institutionsPublish in the ATEA Journal Eligible for ATEA committees and board position ( individual membership as well)00Benefits of Institutional Membership: ATEA media response teamMembers in the news on ATEA webpageNominations for Awards Program (Outstanding Technical Teacher, Student and Program Awards)Share and exchange ideas with business and industryThree copies of the ATEA JournalMember Spotlight—features member institutionsPublish in the ATEA Journal Eligible for ATEA committees and board position ( individual membership as well)3429000-127000NAME OF College------------------------------------------------------------------------------------NAME OF CONTACT PERSON:_____________________________________ADDRESS:_______________________________________________________________________________________________________________PHONE:3086100135255Please list 3 contacts for ATEA Journal distribution:Example: President, Library, VP Academic Affairs, DeanPlease provide 1-3 email addresses for monthly ATEA email announcements.00Please list 3 contacts for ATEA Journal distribution:Example: President, Library, VP Academic Affairs, DeanPlease provide 1-3 email addresses for monthly ATEA email announcements._____________________________________EMAIL:__________________________________________________________________________________________________________________________________Web Site:____________________________________Annual Dues: $500 or $1000*********************************************************************Pay by CheckOr Pay by Credit Card$500 or $1000262890074930Credit Card Information:____Visa ____MasterCard ____Discover ____AmEx______________________________________________Card Number________________________ 3 digit code:___________Expiration Date_______________________________________________Signature_______________________________________________Name as it appears on card – PLEASE PRINT00Credit Card Information:____Visa ____MasterCard ____Discover ____AmEx______________________________________________Card Number________________________ 3 digit code:___________Expiration Date_______________________________________________Signature_______________________________________________Name as it appears on card – PLEASE PRINTMake check payable to: ATEAMail to: ATEA Dunwoody College of Technology Dunwoody Boulevard Minneapolis MN 55304Call 612-318-3315 to pay credit card orfor secure fax number F.E.I. #14-6012422*******************************************************************************************************For inquiries, please contact the ATEA National Office at: 612-381-3315Join ATEA online through our website: ................
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