2023 MMEA Conference: Contract Submission Form

85th MMEA In-Service Workshop/Conference

January 25-28, 2023

Tan-Tar-A Conference Center

2023 Conference: Clinician Contract/Agreement Form

MMEA Area*
Select the MMEA Area for which the contract/agreement is being submitted.
Contract/Agreement Category*
Select the category for which the contract/agreement is being submitted.
Name: Person Submitting Forms*
First Last
Name: Independent Contractor*
First Last
Contractor Email*
Enter “NONE” of no email
Upload File/s Here
Drop files here or

Max. file size: 8 GB, Max. files: 5.
NOTE: Contracts/Agreements are considered “Pending” until the document reflects all required electronic signatures. The MMEA Executive Director will finalize the agreement and confirm the binding agreement (via email) to all relevant parties.