IATC Membership Form

Complete the following On-line Membership Form, Click “SUBMIT”, and send your Membership Fee via postal mail.

*Note: Be sure to include the first and last names of all staff members and individuals that you wish to receive a membership card.

Membership

INDIVIDUAL MEMBERSHIP: $25.00
HIGH SCHOOL STAFF MEMBERSHIP: $50.00
COLLEGE/UNIVERSITY STAFF MEMBERSHIP: $50.00

Ben Duea
2009 Hunziker Drive
Ames, IA 50010-5031
Email: amestrackandfield@gmail.com

Questions or further information contact Ben Duea:
E-mail: amestrackandfield@gmail.com

Membership Form

School Year *

School *

Classification *

Choose your school's classification, College, or Individual

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Coach Information

Please enter the following information ONE COACH PER LINE (Full Name, Coaching Position(s), Coaching Year(s), Email Address