Delaware Association for Adult and Community Education

P.O. Box 639, Dover, DE 19903

Electronic Membership Form

First & Last Name

Street Address

City

State

Zip Code

Day Phone

Evening Phone

FAX

E-Mail

Program

Position

* 3 Members per Organization

AppoquiniminkChristinaDTCC-OwensDTCC-TerryDTCC-WilmingtonDCDALIndian RiverLake ForestLACCLVSANew StartNCCVTPOLYTECHRed ClaySussex TechReflectionsBWCIJVCCSCIHRYCOTHER

Part-Time Staff         $15.00Full-Time Staff          $25.00Volunteer Tutor          $5.00Organization*            $50.00