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Missouri Association of Elementary School Principals

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2011-2012 MAESP-NAESP

Joint Membership Application and Spring Conference Registration Form


Click here for a PDF version of this form

First Name: Last Name:
Street Address: City:
State: Zip Code:
Home Phone Number: Cell Phone:
Email Address:
School Name:
Street Address: City:
State: Zip Code:
Employing District:
Position:
School Telephone: School FAX:
Send Mailing: Home   School Your MAESP District:
MAESP Dues:
Dues for first year administrators are $209 (one time benefit only)

NAESP Dues
If you wish to join NAESP at this time, indicate the amount of your NAESP dues by selecting one of the choices below. Add the amount of your NAESP dues to your total remittance.

District Dues:
Return to MAESP Membership page for more information about membership categories
Spring Conference Registration
Check here if you would like to include registration fee of $233 for the MAESP Spring Conference.
ELN Webinar and Social Media
Check here if you would like to include subscription fee of $99 for the ELN Webinar and Social Media (fee valid until 1/1/2012).
Building Fund Donation:
Check here if you would like to donate $35 toward the 2011-2012 MAESP Building Fund.
Total Remittance:   How are your membership dues paid?
The following demographic information would greatly assist MAESP in association planning for elementary principals:
Years in current position: Years in Principalship:
Years in MAESP: Years in NAESP:

Method of Payment:

 Purchase Order #:

 

 

Mail checks payable to MAESP to:

MAESP
3550 Amazonas Drive
Jefferson City, MO  65109

If paying by credit card or P.O., you may fax this form to 573-556-6270

Note:  $10.00 of MAESP annual membership dues is for a one7year subscription to The Elementary Principal.

In addition, MAESP members will receive MCSA Legislative Bulletin weekly free of charge during the Legislative Session (January through May).


Contributions or gifts to Missouri Association of Elementary School Principals are not tax deductible as charitable contributions for income tax purposes.  However, they may be tax deductible as ordinary and necessary business expenses subject to restrictions imposed by the Omnibus Budget Reconciliation Act of 1993 as a result of association lobbying activities.  Missouri Association of Elementary School Principals estimates that the nondeductible portion of your 2010 dues which is allocable to lobbying activity is 5%.

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Missouri Association of Elementary School Principals 3550 Amazonas Drive Jefferson City, MO  65109

573.638.2460 Fax: 573.556.6270

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