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Thank you for your interest in joining SMCAA!

To become a registered member of SMCAA simply fill out and submit the form below. You will receive an e-mail confirmation of your registration details, keep this for your records.

SMCAA Membership Year is from July 1 to June 30.

SMCAA Individual or Associate Membership Registration Form
Unless otherwise indicated, all information is required.
 
 

Select the appropriate Membership Level:
$200 Associate Group Membership (non-District)
$35 Individual Associate Membership (non-district)
 
Membership fee is non-refundable.
 
 
Individual's/Association's Name:
 
School Year:
 

Primary Contact's Name:
First Name:   Last Name:
 
Primary Contact's Email:
Create Your Login Password: (Must be at least 8 characters) This is for membersonly web access
Confirm Password:
Address:
City:
State:
Zip code:
Phone #:
   
 
 

 ALTERNATES (for Associate Members Only)
 

In addition to a Primary Representative, you have the option of identifying and assigning up to three alternate representatives.
The Primary and the Alternates all receive access to the SMCAA Members Only Section of the Website as well as member correspondence.
NOTE: Email addresses must be unique.

Alternate #1's Name:
First Name:   Last Name:  
   (optional)
Alternate #1's Email: (optional)
   

Alternate #2's Name:
First Name:   Last Name:  
   (optional)
Alternate #2's Email: (optional)
   

Alternate #3's Name:
First Name:   Last Name:  
   (optional)
Alternate #3's Email: (optional)
   
   
   

BILLING INFORMATION
Amount to Bill:
   
Billing Options: Bill me now (before June 30)
I prefer delayed billing (after July 1)
   
Purchase Order #:
   

By submitting this registration form you hereby agree to give permission to SMCAA, granting full right of ownership and free use without restriction of photographs of yourself, for any and all purposes in promoting education in Missouri, including but not limited to printed publications, websites, and electronic newsletters. Membership fee is non-refundable.

     

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