IATC

MEMBERSHIP FORM

Complete the following On-line Membership Form, Click "SUBMIT", and send your Membership Fee via postal mail.

*Note:  Be sure to include the first and last names of all staff members and individuals that you wish to receive a membership card.
Membership:
Individual Membership - $15.00
1A Staff Membership - $30.00
2A, 3A, 4A & College Membership - $40.00
Send Your Membership Fee To:
Bill Neal
P.O. Box 509
Williamsburg, Iowa 52361
Questions or further information contact Bill Neal: E-mail:  bill.neal@mchsi.com
Phone:   319-530-9703

School Year: *
School: * Classification: *
School Postal Mailing Address: *
Please Complete all the information for each individual to be included in your school's or individual membership.
Coaching Position Years Coaching
Name: T&F CC T&F CC E-mail Address