Premier and Basic Program Applicant Information

To register for our Teacher's Program Membership click here

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Due to excessive labor costs to process orders as well as high shipping costs, NAEIR is not taking applications from AK, HI, GU, PR, VI, APO, FPO. Thank you.

Shipping same as mailing:
(can not ship to P.O. Box)

Due to excessive labor costs to process orders as well as high shipping costs, NAEIR is not taking applications from AK, HI, GU, PR, VI, APO, FPO. Thank you.
By checking this checkbox, I am confirming that I have read and understand NAEIR's Terms of Membership as outlined here.

Membership Type:

Basic ($59.00 annual fee)

Payment Options:

After your organization’s application is accepted and entered into NAEIR’s system, you will have the option to add multiple contacts for your organization.

If you are having problems submitting this application please click here for the PDF version of this application. Fax the application to (309)343-0583.