Vermont Principals’ Association, Inc.
2 Prospect Street, Suite #3
Montpelier, VT 05602
INDIVIDUAL MEMBERSHIP APPLICATION FORM AND INVOICE
2012 - 2013
Name _______________________________________________________________________
School_______________________________________________________________________
Address______________________________________________________________________
E-mail address:________________________________________________________________
2nd E-mail address/accounts payable_______________________________________________
Job Title: :______________________________________________________________________
| Professional Dues Structure | VPA Only | *NASSP Only | VPA+NASSP | *NAESP Only | VPA + NAESP | VPA + NASSP + NAESP |
| (*ACTIVE) Principals, Tech Center Directors, Assistant and Associate Principals, | $350 | $250 | $600 | $235 | $585 | $835 |
| ATHLETIC DIRECTOR | $215 |
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| Aspiring Principal | $60 |
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| Retired Principals | $35 | $50 | $85 | $60 | $95 |
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I wish to join (list organization) _____________________________________
Enclosed please find my check in the amount for $ . The VPA Office will forward membership dues to the national associations.
NOTE: Per VPA Bylaws, membership will lapse if dues are not paid by October 1.
PLEASE MAKE CHECKS PAYABLE TO: VERMONT PRINCIPALS’ ASSOCIATION, INC.
2 Prospect Street, Suite #3, Montpelier, VT 05602
VPA/NASSP/NAESP dues can not be deducted as a charitable contribution for tax purposes but are deductible as a business expense.*NASSP (National Association of Secondary School Principals)**NAESP (National Association of Elementary School Principals)