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New York State School Music Association

1-888-NYSSMA-1
Fax: 516-997-1700
E-mail: info@nyssma.org

NEW YORK STATE SCHOOL MUSIC ASSOCIATION MEMBERSHIP FORM 2007-2008
Membership in New York State School Music Association and Music Educators National Conference is valid for one year from the date of enrollment.

Rates for June 1, 2007 through May 31, 2008.
Please fill out the Membership form as completely as possible.
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If you are already a Member:
To automatically fill in some of the fields below enter your MENC ID # and Zip Code:
First Name
Last Name Suffix:
Address
City
State, Zip  
Email
School Bldg Name *
School District Name
* Required if above address is your school
School Phone
Home Phone
Fax
ID Number
Expiration Date

Membership Categories (please choose one)
Active - $108.00
Retired - $45.00
Spousal - $88.00  Spousal MENC ID:
Note: Available for second membership same household - spouse must hold active membership.
Active or Retired Membership is a prerequisite for the option below.
Optional Journal
Journal of Research in Music Education   - $36.00
Major/Minor Instrument If Retired, in which District were you?
Buildings in which you teach Subjects Taught in Buildings


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