West Texas Area Alliance of Black School Educators (WTAABSE) Membership Application 2023-2024 Today's Date MM slash DD slash YYYY Name* Prefix Mr.Mrs.MissMs.Dr.Prof.Rev. First Middle Last Suffix Profession / Position* Business Location Business Address Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Home Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Home PhoneCell Phone*Email* I am a member of TABSE?* Yes No For TABSE Membership visit: www.tabse.netWTAABSE Membership Dues:Membership Type* WTAABSE Membership (Voting member) - $40.00 WTAABSE Paraprofessional (Voting member) - $25.00 Full time students- not employed full time (Voting member) - $20.00 WTAABSE Retired Member (Voting Member) - $25.00 Total Amount DueTotal Amount $0.00 *Please note: There is a convenience fee added to total price, to cover our online payment processing fees. West Texas Area Alliance of Black School Educators is a 501(c)(3) tax exempt nonprofit organization