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NJMEA Music Conference Pre-Registration Form


A list of those who are registered for the conference will be posted weekly at njmea.org To register by credit card, please go to njmea.org and click the link on the home page.


Name Address


Email Address: Home Phone #:


February 20-22, 2014 * One form per registrant * Pre-registration deadline: February 8, 2014 Name for Badge


City: School District Name:


Are you an NAfME member? NAfME members must attach a copy of their NAfME Card showing ID # and Expiration Date. q Yes (Must expire Feb 2014 or later) q No (If NAfME membership expires later than February 2014, you must renew before registering).


CONFERENCE REGISTRATION FEES


ONLY CHECKS, MADE PAYABLE TO NJMEA WILL BE ACCEPTED WITH THIS FORM. PURCHASE ORDERS RECEIVED AND ACCOMPANIED BY A COPY OF THIS FORM WILL BE SIGNED AND RETURNED FOR PAYMENT.


PURCHASE ORDER PAYMENT MUST BE MADE BY APRIL 1, 2014. * * * * Send All Checks & Purchase Orders To: * * * * NJMEA, 1806 Hwy 35, Suite 201, Oakhurst, NJ 07755 (DO NOT SEND SIGNATURE REQUIRED)


Questions: kathleen.mosher1@gmail.com or 732-367-7194


THE FULL CONFERENCE INCLUDES ONE ACADEMY BEING OFFERED ON THURSDAY AT NO ADDITIONAL CHARGE; ALL OF FRIDAY AND SATURDAY; PLUS ONE (1) CONCERT TICKET


PLEASE CHECK ONE (1) ACADEMY FROM THE LIST BELOW THE CONFERENCE REGISTRATION (Please note: lunch will be on your own on Thursday)


Category (PLEASE CHECK ONLY ONE) ❑Full Conference


❑Full Conference (1st time music teacher who was a Collegiate member last year) ❑Family Member* = Non-Music Teacher (FM Requires separate form) ❑Full Conference - Retired NAfME Member (Does not include concert ticket)


Pre-Register On-Site $150.00 $100.00 $150.00 $30.00


❑Full Conference - Retired NAfME Member Family Member* (RMS Requires separate form) (No CT) $30.00 ❑Full Conference - Non-Member - (Does not include NAfME Membership)


$350.00 ❑Full Conference - Collegiate NAfME Member (Includes Collegiate Academy & Lunch on Saturday) $50.00


$160.00 $110.00 $160.00 $40.00 $40.00


(Does not include concert ticket) PLEASE CHECK THE ACADEMY YOU WISH TO ATTEND ON THURSDAY (NO CHARGE)


❑ Choral Academy ❑ Wind Band Academy ❑ Jazz Academy


❑ Technology Academy ❑ Strings Academy ❑ Marching Band Academy ❑ Elementary Academy ❑ NONE


❑ Luncheon Ticket (Required to Attend Ballroom Friday Lunch) Extra Concert Ticket may be purchased at the conference registration desk.


TOTAL ❑ I will attend Friday Concert (TBA) TEMPO


Friday Evening Concert: (1 concert ticket is included with all Friday/Saturday conference registrations of $150 or more if checked above) Concert tickets are NOT included with collegiate and retired member registrations.


❑ I will not attend Friday Evening Concert


Tickets will be issued to the first 750 requests. If the “will attend” box is unchecked, no ticket will be provided. Additional tickets may be purchased at the registration desk on Friday February 21, 2014 at $25.00 each.


64 OCTOBER 2013 $35.00 $____________ $____________


$350.00 $60.00


You may attend academies other than the one you check, but we need to know the main selections IF YOU ARE NOT ATTENDING AN ACADEMY ON THURSDAY, PLEASE CHECK “NONE”


Amount Due ____________ ___________ ____________ ____________ ____________ ____________ ____________


GO TO NJMEA.ORG AND CLICK THE LINK TO REGISTER BY CREDIT CARD. State:


First Name or Nickname ONLY (One Word) Zip:


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