Send this form to the WMEA office postmarked by October 15, 2010. Postmarks after October 15 will be assessed the on-site registration rate. You can also pre-register online at www.wmeamusic.org.


Conference Pre-Paid Registration


Name (as you want it to read on nametag) City (as you want it to read on nametag) Mailing Address City/State/Zip Daytime Phone # Email (This will become main email for WMEA/WSMA communications) CMENC: ID # or school chapter /MENC advisor MENC ID # (Required to register as a member) Exp. Date


NOTE: To receive the reduced WMEA/MENC member registration rate, you must be a member prior to registra- tion. If you wish to join MENC (which also includes WMEA membership), complete the application form on page 46, go to www.wmeamusic.org or join online at www.menc.org. Send the MENC form along with your annual dues and your Conference Pre-Paid Reg- istration form and fees to the WMEA office. For more information, call the WMEA office at 608-850-3566 or 800-589-9762.


Additional Registrant


Name City


Send to: WMEA, Conference Pre-Paid Registration 1005 Quinn Drive Waunakee, WI 53597


Fax to: 608-850-3515 Online at: www.wmeamusic.org


Check ONE option in this box. Each person must fill out a separate form. Forms must be faxed or mailed to WMEA together or register online together. No exceptions.


M WMEA/MENC Member Bringing a first-time attendee who is a Music Teacher.


M First-time Attendee Who is a Music Teacher coming with a WMEA/MENC member.


$4950 ($6250 on site)


I’m bringing: ___________________________________ Full name – must complete to receive discount.


$4950 ($6250 on site)


I’m attending with: _______________________________ Full name – must complete to receive discount.


Check All That Apply: M WMEA/MENC Member $125 on site


M Non-WMEA/MENC Member $225 on site


$99 ______ $199 ______


(Free optional MENC membership - complete & bring MENC form to pre-registration check-in) M CMENC/Tri-M Member/High School Student $25 ______


M Full-time Undergrad College Student Non-Member $59 ______ (Free optional MENC membership - complete & bring MENC form to pre-registration check-in) M Retired MENC Music Educator


M Retired Non-Member (Free optional MENC membership - complete & bring MENC form to pre-registration check-in)


WSMA State Honors Concert Tickets Tickets for WSMA High School State Honors Orchestra /Band and the WSMA High School State Honors Treble Choir/Mixed Choir concerts are available at the Overture Center box office at 608-258-4141 or online at www.overturecenter.com.


High School Jazz Ensemble Concert Tickets


M Yes, I want my complimentary Jazz Ensemble Concert Ticket (1 FREE ticket with paid conference registration)


M Additional Tickets


M Middle Level Choir, Orchestra, Band Concert Tickets


Pre-Paid Registration & Honors Tickets Graduate Credit


Receive one graduate credit from Viterbo University for your conference attendance. Please visit www.wmeamusic.org to register for graduate credit or visit the conference headquarters area located on level 4 in the Grand Terrace.


M Check Enclosed OR M MasterCard M Visa


Credit Card Number _____________________________________ Expiration Date _________________________________________ (Required)


Signature ______________________________________________


Please Note: A refund of conference pre-registration fees will be issued, minus a $25 cancellation fee, if notice is received more than seven (7) days prior to the beginning of the conference. No refund of conference pre-registration fees will be issued if cancellation is received seven (7) days or less prior to the beginning of the conference.


40 September 2010


#_____ $12 ______ $15 on site


#_____ $12 ______ $15 on site


Total $__________


$25 ______ $66 ______


______ ______


Discount!


50%


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