Application for Membership

Please print this application and return it with a check for $15 to the following address:

Michigan Montessori Society

466 N. John Daly

Dearborn Heights, MI 48127 

Name:_______________________________________

Address:____________________________________

City:_________________________ State:_____ Zip: ___________

Home Phone:_____________ Business Phone:____________

Email address______________________________________

Please check the appropriate blank(s).

Montessori Director(ess)_____ Administrator____

Intern___ Assistant____ Parent_____ Other______

Are you currently working with: Toddlers____ 3-6___ 6-9____ 9-12___

School with which you are associated___________________________________________________

Address:________________________________________

City______________ State_____ Zip___________

Would you be willing to serve on the MMS Board? Yes____ No____

Do we have your permission to publish your address, phone number and emailaddress in the MMS membership directory?    Yes____ No____


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Copyright © 1999, Michigan Montessori Society
Last modified: February 9, 2004