Illinois Junior Academy of Science
Membership Form 2009-2010
  • Please make sure that all information is correct. Spell names as you would want them spelled on a certificate.
  • Membership fee is $50.00 if postmarked before December 31, 2009, $55.00 if postmarked after December 31, 2009.
  • The IJAS state organization will not accept registrations from schools received after January 31, 2010.
  • Each school or building in a district must register as a separate member school.
  • Your IJAS Region may assess other fees to take care of the cost of operating the Regional Exposition.
  • In addition to e-mail or postcard notification, current members will be posted on the IJAS website www.ijas.org

SCHOOL INFORMATION
 
School  
School Address  
City, State, Zip  
School Phone  
County  
Region Number Will be assigned by IJAS
School Number Will be assigned by IJAS
Circle participating grades:         7-8         7-12         9-12      State science fair is open to 7th grade and above

SPONSOR INFORMATION
 
Name  
Home Address  
City, State, Zip  
Home Phone  
Fax  
E-mail  

 
 
Please send a check (NO PURCHASE ORDERS) for $50.00 ($55.00 after December 31st) and this membership form to:
 

Illinois Junior Academy of Science
PO Box 198910
Chicago, IL 60619

 
Please retain a copy of this form for your records.
No registrations accepted after Jan. 31