Print this page, complete the appropriate section and mail with your check to:

Delaware Home Education Association Membership

11 Bristol Knoll Road

Newark,  DE  19711-2122

Associate Membership

Are you joining as an individual family or school? (Circle one)

Is this a Renewal?   Yes      No

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Individual or Administrator Name:

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Address:

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City/State/Zip:

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Phone:

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Email address:

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Do you belong to, or is this, a DE registered school?   Circle one:  Yes      No

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If so, what is the school name?

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Annual dues amount is $5 per year (Sept. 1-Aug. 30)

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Regular Membership

Is this a Renewal?  Yes   No

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School Name:

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Administrator Name:

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School Address:

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City/State/Zip:

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Phone:

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Email address:

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DE registered school?  Circle one:  YES      NO

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If so, what is the school number?

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$3 per family, minimum $10.00 per year (Sept. 1-Aug. 30)

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Number of families in school:

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Annual dues amount - $

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