Maine Association of Family and Consumer
Science Educators
Membership Form
2001-2002

Now is the time to support your Professional Organization for only $25.00.
Dues go towards printing and mailings, newsletters,organizing and
funding the annual conference, supporting area activities, special events and
more!
YOUR SUPPORT IS NEEDED FOR WORK TO CONTINUE!

NAME:______________________________________ MAFCSE AREA:________________________________

SCHOOL:_____________________________________________________________________________

ADDRESS:____________________________________________________________________________

CITY/TOWN:____________________________________ STATE/ZIP:____________________________

SCHOOL TELEHONE:____________________________ SCHOOL FAX:____________________________

SCHOOL E-MAIL:______________________________________________________________________
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HOME ADDRESS:______________________________________________________________________

HOME CITY/TOWN:____________________________________ STATE/ZIP:____________________________

HOME TELEPHONE:____________________________________________________________________

E-MAIL HOME:_________________________________________________________

PLEASE SEND THIS FORM AND DUES PAYABLE TO:
MAFCSE
Karen Phair
99 Weld Street
Dixfield, Me. 04224