Application for School Membership

Institution Name

Contact Person

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone

Website

Number of teachers in automotive curriculum

List classes offered in automotive machining curriculum (please add AERA to your mailing list)

Number of students per class

Other trade associations or educational accreditation with which you are affiliated

Membership dues

Total

$0.00

Payment

Card Number

Expiration

Security Code

If you would like a monthly payment plan, we need your confirmation in writing.
Please print out the PDF below and return completed form to AERA.