To pay with PayPal, please complete the form below.
First Name:
Last Name:
Address:
City, State, Zip:
Phone:

Email:
Are you (check one)

Please complete. Check all that apply.


Total Amount: $60.00

*NOTE: Certified teachers renew through IYNAUS, not IYASE.

If you would prefer to pay by check,
please print and include the registration form found here,
and send a check made payable to:

Diana Martinez, IYASE Membership Chair
1050 Temple Ave. #243
Colonial Heights, VA 23834-2981