MEIEA SUMMIT 2012

SUMMIT 2012 NEW MEMBER REGISTRATION

Submit the form below to proceed with summit registration.

Summit Registration ($399.00) + Active Membership ($60.00, 20% discount)
Educators and practitioners interested in music and/or entertainment industry education.

$ 459.00

Note: registration includes reception (Thursday evening) and lunch on Friday & Saturday.

For more information on MEIEA membership click here.

NAME (FIRST)
NAME (LAST)
EMAIL 1 (Personal/Preferred)
Mailing Address
CITY
STATE (skip if not U.S. address)
or Province/Country (if not USA)
ZIP/POSTAL CODE
SCHOOL/INSTITUTION or BUSINESS AFFILIATION
MEMBER CLASSIFICATION	Full-time Faculty (Tenure track) Full-time Faculty (Non-tenure track) Part-time Faculty (Adjunct) Administrator / Faculty Administrator (non-teaching) Practitioner (professional in the music/entertainment industry) Practitioner & Part-time (Adjunct) Faculty
Title (if appropriate)
Rank (if appropriate)
Number of Years in Education
Number of Years in Music/Entertainment Industry
Area(s) of expertise/interest:
Degrees, certifications, credentials.
INCLUDE MY INFORMATION IN THE MEIEA RESOURCE DIRECTORY.	YES NO
Special Dietary Needs
Emergency Contact (for conference attendance)
Friday night networking dinner at the Hard Rock Cafe (dutch, you pick up your own tab)..	Yes, Please hold a reservation. No, I am not planning to attend.
LA Studio Tour (transportation by volunteer car pool)	Yes, hold a reservation but I'll need a ride. Yes, hold a reservation, I have my own transportation. Yes, hold a reservation and I have a car for the carpool. No, I'll pass on this one.
How did you hear about the Summit?
Is this your first MEIEA summit / conference?	Yes No