MO-ACTE 2013 Online Conference Registration

MISSOURI ASSOCIATION for CAREER and TECHNICAL EDUCATION
2013-2014 MEMBERSHIP & CONFERENCE REGISTRATION FORM

This page ONLY accepts
If you wish to use Check, Purchase Order, or plan to print and fill out the form to submit by mail or fax, please use one of our Printable Registration Forms.

FILL OUT:
A-Personal Information; B-Conference Registration; C-Dues; and D-Payment

* =Required Fields - Use TAB for next field and SHIFT+TAB for previous field.

A- PERSONAL INFORMATION

* Full Name:
Nickname:
* Social Security # (Last 4 Digits): * Home Phone: 1---
* Home Address:
* City: * State: * ZIP:

* School/Office Name:
* Address:
* City: * State: * ZIP:
* Office Phone: 1--- Ext. #
Office Fax: 1---
* E-Mail:

Missouri ACTE Member #: Returning Members Only.

I am a first time Missouri ACTE Member.

If new member - Referred by:

B- CONFERENCE REGISTRATION

Missouri ACTE Summer Conference July 22-25, 2013 - Springfield, MO
Missouri ACTE Conference registration fee is not included in your division conference fee
Registration Refund Policy: Full refund if requested before 6/7/13, from 6/7/13-6/28/13 half refunded. After 6/28/13 no refunds will be given.

Missouri ACTE Conference Fees:

Please select:
Registration Before July 8, 2013 - $55

On-Site Registration After July 8, 2013 - $65

Additional Division Conference Fees:

MCCTA:
MCCTA Conference Registration - $150
(MCCTA required to pay both Missouri ACTE and MCCTA conference fees)

Questions?? Contact us at (573) 634-7366 or fax (573) 635-6258 or margie@mo-acte.org

After July 8, 2013, you must register on-site through your division.

Contributions or gifts to Missouri ACTE are not tax deductible as charitable contributions. Dues payments are generally deductible by members as ordinary and necessary business expense. However, due to the enacted Budget Revenue Reconciliation Act of 1993, any dues revenue utilized by a professional or trade association for lobbying purposes cannot be deducted by the member who paid the dues. In accordance with the Act, the Missouri ACTE is notifying its membership that it estimates that 13% of 2013 Missouri ACTE dues paid by a member will not be deductible as ordinary business expense for federal tax purposes.

C- DUES

Missouri ACTE Membership Dues - REQUIRED
Active Member $25 Retired Member $5 Student Member $5 MVATA Member

DIVISION DUES - Required - Choose at least 1 Division
Please select Dues and Main Division or Additional Division

MCCTA - Missouri Council of Career and Technical Administrators
Active Member $105 ($80 National ACTE Dues Included)
Retired Member $56 ($31 Retired National ACTE Dues Included)
Main Division Additional Division

MVATA - Missouri Vocational Agricultural Teachers Association
MVATA - will be collect ALL dues paid by their members at conference
Main Division Additional Division
Please select MVATA Member in the Missouri ACTE Membership Dues section.

MBEA - Missouri Business Education Association
Active Member $60 Retired Member $10 Student Member $10
(includes Awards Lunch)
Main Division Additional Division
fill out bottom of form!

MoEFACS - Missouri Educators of Family & Consumer Sciences
Active Member $30 Retired Member $9 Student Member $2
Main Division Additional Division

MSCA - Missouri School Counselor Association
MSCA Dues $50
Main Division Additional Division
Fill out bottom of form!

MHSE - Missouri Health Sciences Education
MHSE Dues $45 (Includes Awards Lunch)
Main Division Additional Division

MCEA - Marketing & Cooperative Education Association
Active Member $30 Retired Member $5 Student Member $5
Main Division Additional Division

MACS - Missouri Association for Career Services
MACS Dues $15
Main Division Additional Division

MSNA - Missouri Special Needs Association
Active Member $20 Student Member $8
Main Division Additional Division

TEAM - Technology Education Association of Missouri
Active Member $30 Student Member $5 Retired Member $10
Main Division Additional Division

MTTA - Missouri Trade & Technical Association
MTTA Dues $15
Main Division Additional Division
Fill out bottom form!

NATIONAL DUES

ACTE - Association for Career and Technical Education
Active Member $80 Retired Member $31 Student Member - Free

ACTE Student Membership Application Form - PDF

Note: MCCTA dues include National ACTE dues. Please do NOT select if you are a member of MCCTA.

Business NBEA
NBEA Dues $80 - National Business Education Association

Family & Consumer Sciences

NATFACS - National Assn. Teachers of FACS

Active Member $20 Retired Member $10 Student Member $5
NATEFACS Dues $20 - National Assn. of Teacher Educators of FACS

Technology ITEA
ITEA Dues $80 - International Technology Education Association

Trade & Technical
ASTS - National "IT Association For Skilled Technical Sciences"
ASTS Dues $25
ASTS Dues $20 (if ACTE dues are paid)

*MSCA DIVISION MEMBERS ONLY*
MSCA District: 1. Northeast 2. Central 3. Southeast 4. Southwest 5. Northwest 6. South Central 7. Greater KS City Sub. 8. Jefferson County 9. St. Louis Sub. 10. St. Louis City 11. Kansas City - City 12. Mid-Mo Northeast	Level: Elementary Middle/Junior High/Secondary Post Secondary Private Business Agency Vocational Counselor Instructor Administer Student	Membership Type (MSCA): Professional Regular Student Emeritus Affiliate This is a: New Membership Renewal (Last Year) Renewal (Before Last Year)

*MBEA DIVISION MEMBERS ONLY*
Central Greater KC Southeast	East Central Northeast Southwest	Northwest West Central St. Louis

*MTTA DIVISION MEMBERS ONLY*
Construction Manufacturing	Graphics Transportation	Service

D- PAYMENT

Note: A 4% processing fee will be charged for all credit card payments.

* Payment Method: MasterCard VISA
* Exact Name Printed on Card:
* Card Number: e.g. 1234123412341234 (no spaces)
Expiration Date: * Month * Year * CSC
Note: CSC For MasterCard or Visa is the last three digits in the signature area on the back of your card.

Questions?? Contact us at (573) 634-7366 or fax (573) 635-6258 or margie@mo-acte.org

Please double check your entries before submitting to ensure accuracy.

Please click the Submit button only once to avoid multiple registrations.

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Date last modified: February 22, 2013