WASSP and NASSP Membership Enrollment

Form for New Members, Educators, & Retired Members—Please Print

Send enrollment form with payment to:  WASSP, 3301 Grays Gables, Laramie, WY 82072

Payment may be by P.O., VISA or MC, or check

If you are renewing your membership, the Membership Form will be mailed from NASSP

And you will send your check or P.O. to EmmaJo Spiegelberg in Laramie.  Please do not send your membership directly to NASSP.  EmmaJo’s e-mail address—jwejspiegelberg@q.com

Name ________________________________________________________

Title:   ____Dr.    ____Mr.    ____Mrs.    ____Ms.    ____Other:__________

I am a:    ____Principal    ____Assistant Principal    ____Other:__________

Please choose an edition of Principal Leadership    ____Middle Level        ____High School

I want to receive my NASSP membership materials at:  ____Home  ____School

Social Security No.: _______________________Birthdate: ______________

School Name: __________________________________________________

School Address: __________________________ City: __________________

School Zip:________ School Telephone: ___________School Fax: ________

Home Address: ___________________________ City: __________________

Home Zip:  ______Home Telephone: ________________Gender: _________

E-mail Address __________________________________________________

Please check one:

Individual Member in WASSP ($115) & NASSP ($234)…………………………………………$349.00 ____

Institutional Member in WASSP ($115) & NASSP ($234)…………………………………………$349.00 ____

NASSP MEMBERSHIP CATEGORIES

(Term—One year on anniversary date)

2010-11

INDIVIDUAL MEMBERSHIPS

TYPEELIGIBILITYINCLUDES

IndividualOpen to all individuals engaged in* $1,000,000 personal liability

The practice, teaching and super-protection

Vision of middle level and/or*Up to $10,000 for legal assistance

High school administration--$1,000 for each year of

continuous membership.

*All NASSP publications.

*Reduced rate for convention/meetings.

*Reduced rate on publications.

SCHOOL MEMBERSHIPS

InstitutionalSchool-owned membership in the*$1,000,000 personal liability protection

name of an individual. Eligibility*Up to $10,000 for legal assistance—

and benefits are the same as Individual$1,000 for each year of continuous

Membership.  However, this member-membership.

ship is transferable, but nonrefundable,*All NASSP publications.

and all materials are sent to the*Reduced rate for convention/meetings

school*Reduced rate on publications