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High School Connection Online Application

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Mailing address to which we will mail your NATA News:

First Name:         Middle Initial:         Last Name:
 
Address:
City:         State:        Zip:
Country:
Home Phone:
E-mail Address:
Gender: male    female
Ethnicity: (optional) In accordance with Federally-designated categories
American Indian/Alaskan Native Multi-Ethnic
Asian or Pacific Islander White (not of Hispanic origin)
Black (not of Hispanic origin) Other:
Hispanic
Name of High School:  
Anticipated Graduation Date:  

Annual Subscription Fees
Prorated based on date application is received

August - November $30.00
December - March $20.00
April - July $10.00

All High School Connection subscriptions expire July 31 of the current year.


CREDIT CARD PAYMENT INFORMATION
Visa MasterCard American Express Discover
Account Number: Expiration Date:
Full Name (as it appears on credit card):

I authorize NATA to charge $ to my credit card
( Pay the prorated amount corresponding to the date of your application, according to the proration schedule above.)

Once your payment goes through, we'll e-mail you your subscriber number so you can access The High School Connection online.

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