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School Name
School Website
Contact Name
Contact Email
Full School Street Address
School Postal Address if Different (or state 'same')
Telephone
Fax
School Info: Years in Business
School Info: Number of Students
School Info: Number of Teachers
School Info: Grade Levels
School Info: Does the school have an international curriculum?	Yes, the school has an international curriculum. No, the school does not have an international curriculum.
Class of Membership Applied For:	Regular/Full Member (US$99.00) Associate Member School Membership (US$55.00) Associate Member Business (US$555.00)
Please Read the Membership Agreement.	I have read and agree with the CEESA membership conditions.