To join TSTA, print this form and send a check for $20, made payable to TSTA, to this address:

Barry Farris
2133 Williamsport Pike
Columbia, TN 38401

Title

Name

Home address

City

State

Zip

Home Phone

County

School

School Address

City

State

Zip

School Phone

County

School System

E-Mail

Level Elementary   Secondary
Middle    College
Grades taught

Subjects taught

NSTA Member Yes  No









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