2025 Conference Pre-Registration Form (GROUP pay by check)

87th annual mmea in-service workshop/conference

CONFERENCE PRE-REGISTRATION

(GROUP Registration)

This form is to be used ONLY if entering multiple registrations to be paid with ONE School District Check.

*Please provide ALL information on the first registration.
*For additional registrations, please provide the school or district along with the primary contact name and email.
Name of School District

Please enter the name of the School District of the Educator/Attendee.
Name of School

Please enter the name of the School of the Educator/Attendee.
Primary Contact Name*
First Last
List the name of the person to be contacted should there be any questions regarding individual/group registrations and/or payment status.
Primary Contact Email*

Must be included on at least one of the registrations entered (but not all).
Primary Contact Phone #

Must be included on at least one of the registrations entered (but not all).

MEMBER REGISTRATION INFORMATION
Member Name*
First Last
Please enter the member’s name exactly as it should be printed on the conference name badge.
Member Pronoun:
Include the following information on the member name badge (Choose One):*
- Member School
- Member City
The member school, or the member city will appear on the member’s name badge along with the member’s name.
Member Primary Email*
Member NAfME Number*

*Must total 9-digits. (Add “zeros” to the beginning of the number to total 9 digits.)
NAfME Membership Expiration Date*

Please enter Month/Year (Ex: 02/2024) **NOTE: If your NAfME membership expires in February 2024 or before, you must renew your NAfME membership prior to the MMEA Conference.
Member Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Member Primary Phone #*