MIT Community Membership
 For more information:  View the Flyer
Cost: $200 per school or per person, whichever is less (July 1, 2011 to June 30, 2012)
A purchase order number is required at time of registration.

First Name:

 

Last Name

 
E-mail Address:

 

Name of district financial officer:

 
District financial officer's e-mail:

 
School name:

 

Billing Information
Purchase Order Number:

 
District:

 

Billing address:

 

Billing city:

 
Billing state:

 
Billing zip code:

 
Additional Notes, Contact Information etc.:  
MIT Years Completed:

1 Years
2 Year
 3 years
4 years
 5 years
N/A

 

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