Please complete this form and send payment to:
**NEW ADDRESS**
Don Hughes, SEIBA Treasurer
Washington High School
402 Sitler Dr
Washington, IA 52353
Phone (319) 653-2143
Dues:
Active Members: $20 if registered by October 1 ($25 if registered after October 1)
Associate Members: $5
Retired/Student Membership: FREE
Please remember that you must be a current member of both SEIBA and IBA to have your students participate in the many outstanding activities of SEIBA. Please fill out this form completely to be included in the SEIBA directory.
1) Choose the form that is appropriate for you, depending on when you paid your dues.
2) Download your own copy of the form.
3) Enter your personal information in the appropriate fields.