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Thank you for your interest in joining SMCAA!

To become a registered member of SMCAA simply fill out and submit the form below. You will receive an e-mail confirmation of your registration details, keep this for your records.

SMCAA Membership Year is from July 1 to June 30.

Annual district membership will include one seat at each of the SMCAA Regional meetings. Additional attendees from the same district will be charged at the regular membership Regional meeting rate. All attendees from a district are still required to register for the Regional location they plan to attend.

SMCAA 2018 - 2019 Membership Registration Form
Unless otherwise indicated, all information is required.

District/Organization:
Regional District Location:
   

Primary's Name:
First Name:   Last Name:
 
Primary's Email:
Address:
City:
State:
Zip code:
Phone #:
   
Accounts Payable Contact
First Name:
Last Name:
   
Email:
Phone:

 
 

Select the appropriate Membership Level:

$235 - District enrollment of 300 or less
$335 - District enrollment of 301 – 1,000
$435 - District enrollment of 1,001 – 3,000
$535 - District enrollment of 3,001 or more
        Membership fee is non-refundable.
 
Yes, I want to take advantage of the SMCAA In-House 3 Workshop Package Special for $300.00. This is a $90.00 total savings. The registration deadline to sign up for membership in order to take advantage of this special is March 30, 2018. The 3 workshops of your choice must be attended by June 30, 2019. Any member district staff may utilize this special.
 
 

 ALTERNATES

 

In addition to a Primary Representative (your District Curriculum Contact), districts have the option of identifying and assigning up to eight alternate representatives.
The Primary and the Alternates all recieve member correspondence.
NOTE: Email addresses must be unique.


Alternate #1's Name:
First Name:   Last Name:  
   (optional)
Alternate #1's Email: (optional)
   

Alternate #2's Name:
First Name:   Last Name:  
   (optional)
Alternate #2's Email: (optional)
   

Alternate #3's Name:
First Name:   Last Name:  
   (optional)
Alternate #3's Email: (optional)
   

Alternate #4's Name:
First Name:   Last Name:  
   (optional)
Alternate #4's Email: (optional)
   

Alternate #5's Name:
First Name:   Last Name:  
   (optional)
Alternate #5's Email: (optional)
   

Alternate #6's Name:
First Name:   Last Name:  
   (optional)
Alternate #6's Email: (optional)
   

Alternate #7's Name:
First Name:   Last Name:  
   (optional)
Alternate #7's Email: (optional)
   

Alternate #8's Name:
First Name:   Last Name:  
   (optional)
Alternate #8's Email: (optional)
   
   
   

BILLING

 
Amount to Bill:
   
Billing Options: Bill me now (before June 30)
I prefer delayed billing (after July 1)
   
Purchase Order #:
   

By submitting this registration form you hereby agree to give permission to SMCAA, granting full right of ownership and free use without restriction of photographs of yourself, for any and all purposes in promoting education in Missouri, including but not limited to printed publications, websites, and electronic newsletters. Membership fee is non-refundable.

     

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