SSNS Newsletter Subscription Form

Send the form.  (Fields marked with * are required.) You will receive the next issue of the SSNS newsletter by email - and we will send you an invoice by regular mail.

Pay by due date - or opt-out and owe nothing: If your check is received by the invoice due date, you will receive SSNS newsletters for one year. If not, we will interpret that as your decision to cancel. Your service will automatically stop and you may disregard the invoice.

Date (mm/dd/yyyy) *
Full Name *
Organization Name *
Street Address *
City, State Zip Code *
E-mail Address: *
Phone *
Fax
Subscription Category *
Organization (school district, cooperative or other local education agency; university, community college or other public or private institution of higher education; governmental agency; association; private sector business): $260/year
Individual ($24/year)
**Individual Discount: Member of advocacy organization (PTA, PTO, PURE, LWV, any local public school support or advisory board, council or organization): $15/year
**Individual Discount: Individual, college or university student ($10/year)
**NOTE: If you chose an individual discount category, put the organization you are a member of or the institution of higher education you attend in the “Organization Name” field below.

* Required