JOIN MEIEA® ACTIVE MEMBERSHIP

MEIEA® ACTIVE MEMBERSHIP REGISTRATION

Annual dues: $60.00 (US dollars)

Educators and practitioners interested in music and/or entertainment industries education

may join as an Active Member with voting status.

To join or renew your membership, fill in and submit your registration/renewal information.
After submitting your registration information, you may continue and
pay online with a credit card (or PayPal® account).

REGISTRATION TYPE	New Member Renewing Member
PAYMENT	Credit Card Paid w/Institutional Membership
NAME (FIRST)
NAME (LAST)
SCHOOL/INSTITUTION or BUSINESS AFFILIATION
EMAIL 1 (Personal/Preferred)
Email 2 (Business/Alternate)
Phone contact (xxx) xxx-xxxx
Alt Phone Contact (xxx) xxx-xxxx
PERSONAL/PERMANENT MAILING ADDRESS
CITY
STATE (skip if not U.S. address)
or Province
Country (if not US)
ZIP/POSTAL CODE
SCHOOL/INSTITUTION or BUSINESS MAILING ADDRESS
CITY
State (skip if not U.S. address)
or Province
Country
ZIP/POSTAL CODE
MEMBER CLASSIFICATION	Full-time Faculty Part-time (Adjunct) Faculty 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
If yes above, what contact information would you prefer including in the MEIEA resource directory?	Personal School/Institution/Business Both