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MMEA CONFERENCE REGISTRATION University of Southern Maine, Gorham May 19 & 20, 2011


Pre-register (postmarked) by Friday, April 30th and you will receive (by return mail) your parking pass, name badge insert, tickets & campus map!!!


 MMEA Active Member (Early Reg. Postmarked by April 30, 2010) ............. 50.00  MMEA Active Member ................................................................................... 55.00  ACDA or MSTPA Active Member ................................................................. 65.00  MMEA Spouse Member (when 2 family members are attending) ................... 25.00  Non-Music Teacher Spouse .............................................................................. 15.00  MMEA Retired Member .................................................................................... Free  Student MENC Member ..................................................................................... Free  Non-member (one day Thursday or Friday).................................................... 100.00  Non-member (full conference)........................................................................ 150.00 Registration TOTAL: ________


MEALS (Dependent upon availability)


 MMEA Banquet Thursday night (MMEA Member) ........................................ 25.00  MMEA Banquet Thursday night (non-MMEA member) ................................. 30.00  ACDA Luncheon Thursday............................................................................... 15.00  General Music Luncheon Friday ...................................................................... 15.00  MSTPA Luncheon Friday ................................................................................. 15.00 Meals TOTAL: ________


Complete Total of Registration and Meals: _________


Name (as you want it on your badge): ___________________________________________ School (as you want it on your badge): ___________________________________________ MENC, ACDA, or MSTPA # (not school's institutional # ): _________________________ Contact Address: ____________________________________________________________ Contact Email: ______________________________________________________________ Contact Phone: ______________________________________________________________


Make check payable to MMEA Mail registration to: Nathaniel Menifield,


Kennebunk High School, 89 Fletcher St. Kennebunk, ME 04043 nmenifield@rsu21.net Phone: 207-551-7755


Office Use Only:


 Mail In : Check # _____________ PO # _________________ Date Rec’d: ______________  On Site Registration: Paid via _____________________


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