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Real Institute Membership Registration


  • REAL Membership Form

    $1000 for 2 year membership   

    School District Information

    School District:
    Main Office Address:
    Main Office City:
    Main Office State:
    Main Office Zip:            
    Main Office Phone:

    Contact Person:

    Contact First Name:
    Contact Last Name:
    Contact Email:
    Contact Confirm Email:

    Superintendent: 

    Superintendent First Name:
    Superintendent Last Name:
    Superintendent Email:
    Superintendent Confirm Email:

      

    Number of Teachers/Staff Eligible:  

    Number of Teachers/Staff in District Eligible for membership benefits:  

    Payment Option: 

     
    Payment Option:


    Survey 

     Please list any topics of interest that your district would be interested in earning PIL Act 45 credits in the future.