Membership Form

Please do not use this form yet,

It is not fully set up to work.

To become a member and gain access for this calendar year to the Model New Teacher Induction Program
PLUS free phone and email consultantion with Barry Sweeny, the author and mentoring expert,
just complete this form.
Click on Submit when ready to send.

Click here to Return to the Model Program Introduction Page

Info about you:

Your Title:

Dr. -

Mr. -

Mrs. -

Ms. -

Your First Name
Your Last Name
Your Position / Job
Street Address
City
State / Province
Country
Zip / Postal Code
Organization

Your email address -

Payment Options:

1. You may print out this form and mail it with a check made out to Barry Sweeny for the $90 membership fee to Barry Sweeny, 26 W 413 Grand Ave. Wheaton, IL 60187.

2. You may complete the rest of this form, press the "Submit" button, and pay by Credit Card:

Card Type:

Master Card -

Visa -

American Express -

Discovery -

The Membership/Consultation Package for the Model Teacher Induction Program costs $90 for an entire calendar year.

Credit Card #
Expiration Date
Your Name as it appears on card

Type the user ID name (up to 8 characters) that you will use (Please write it down.)

User ID

Type the 6-8 character password you will use (and please write that down too).

Password

Any comments or questions to submit ?

Thank you for your interest in new teacher support and for your patronage of this web site.

Clicking on the "submit" button will place your order for membership and consultation and it signifies your agreement with the cost ($90) and to abide by the terms of this membership.

The Model New Teacher Induction Program web site is sponsored by Barry W. Sweeny, owner of Best Practice Resources, 26 W 413 Grand Ave., Wheaton, IL 60187, 630-668-2605. Contact Barry by email at . The Best Practice Resources web site is at http://www.teachermentors.com