2027 | Conference Pre-Registration Form (GROUP pay by 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).
Group Registration Category:
- ALL Registrations – Active NAfME/MMEA Members
- ALL Registrations – Non-Members

ACTIVE NAFME/MMEA MEMBER 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 #*
Registration Information
Active Member Registration Fees*
- $85 – MMEA Active Member (September 15- October 31)
- $15 – Spouse/Significant Other
- $15 – Guest 1
- $15 – Guest 2
Check all that apply

NON-MEMBER INFORMATION
Attendee Name:*
First Last
Please enter the member’s name exactly as it should be printed on the conference name badge.
Attendee Pronoun:
Include the following information on the attendee name badge (Choose One):*
- Attendee School
- Attendee City
The member school, or the member city will appear on the member’s name badge along with the member’s name.
Attendee Primary Email*
Attendee Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Attendee Primary Phone #:*
Registration Information
Non-Member Registration Fees:*
- $215 – MMEA Active Member (November 1-November 30)
- $15 – Spouse/Significant Other
- $15 – Guest 1
- $15 – Guest 2
Check all that apply

89th annual mmea in-service workshop/conference