MIT Community Membership

Cost: $200 per person (June 1, 2010 to June 30, 2011)
For more information:  Flyer

First Name:

 

Last Name

 
E-mail Address:

 

District:

 

Name of district financial officer:

 
District financial officer's e-mail:

 
School name:

 
School address:

 

School city:

 
School state:

 
School zip code:

 
Summer Contact Information:
Email, phone etc.		  
MIT Years Completed:

1 Years
2 Year
 3 years
4 years 

 If you have any questions regarding this event, please contact the KCM