Minnesota Alliance of Black School Educators
MABSE 2011-2013 Membership Application
Name: _____________________________________________
Address: ___________________________________________
___________________________________________________
Home Phone: ________________________________________
Work Phone: _________________________________________
School/Agency: _______________________________________
___ Teacher___ Counselor___ Principal___ Administrator
Social Worker____ Other____________________________
Committee Choice_________________________________
2008-2010 dues=40.00
Please make check payable to MABSE
MABSE
P O Box 582245 MINNEAPOLIS, MN 55458
PHONE: (612) 588-5809
WEBSITE: www.angelfire.com/ma2/mabse2.index.html
EMAIL: mabse2001@yahoo.com