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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.

SMCAA 2017 -2018 Individual or Associate Membership Registration Form
Unless otherwise indicated, all information is required.

 
 

Select the appropriate Membership Level:

$200 Associate Group Membership (non-District)
$35 Individual Associate Membership (non-district)
        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, 2017. The 3 workshops of your choice must be attended by June 30, 2018. Any member district staff may utilize this special.
 
 
Individual's/Association's Name:
 
 

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

 

 ALTERNATES (for Associate Members Only)

 

In addition to a Primary Representative, you have the option of identifying and assigning up to eight alternate representatives.
The Primary and the Alternates all receive access to 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 INFORMATION

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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