Name Social Security Number Home Address City/State/Zip School Name School Address City/State/Zip Employing District Position Send mailings to: Home or School School Telephone Home Telephone Fax E-Mail Sponsored/Recruited by
MAESP Dues Indicate the amount of your MAESP dues by selecting one of the choices below:
$274.00 Active (for principals & asst. principals) $25.00 Retired $274.00 Lifetime Retired $324.00 Institutional $25.00 Student/Aspiring $150.00 Associate
Dues for first year principals are 50% of active amount Check here if you are a first-year principal and adjust your payment accordingly
Check here if you are including $20 for Southwest District Dues.
Check here if you are including $20 for St. Louis Suburban District Dues.
Check here if you are including $20 for Southeast District Dues.
Return to MAESP Membership page for more information about membership categories.
NAESP Dues If you wish to join NAESP at this time, indicate the amount of your NAESP dues by selecting one of the choices below. Add the amount of your NAESP dues to your total remittance:
Active $215.00 Aspiring $70.00 Retired $55.00 Emeritus (Retired with more benefits) $108.00 Associate $115.00 Institutional Active $260.00 Institutional Subscription $140.00 International Associate $145.00 I do not wish to join NAESP at this time.
Total remittance for MAESP and/or NAESP dues: $
Your MAESP District (select one) 01 Central 02 Clay-Platte03 KC Suburban 04 Jefferson County 05 Kansas City 06 Northeast 07 Northwest 08 St. Joseph 09 St. Louis 10 St. Louis Suburban 11 South Central 12 Southeast 13 Southwest 14 Springfield
How are your membership dues paid? I pay out of my own pocket and am not reimbursed. The school board either pays or reimburses me for dues.
I wish to receive: A MAESP membership certificate and card A MAESP membership card only
The following demographic information would greatly assist MAESP in association planning for elementary principals:
School District Enrollment Salary Age Sex Years in Education Years in Principalship Years in Current position Years in MAESP Years in NAESP Years until eligible for retirement 0 to 5 5 to 10 more than 10
Method of Payment Personal check School check Purchase Order #
Credit Card: If you wish to pay by credit card (Mastercard or Visa), please complete your enrollment form, submit and then call the MAESP office at 573-638-2460 to insure confidentiality of your credit card information.
If you do not receive confirmation within 10 days, please call the MAESP office at 573-638-2460 or e-mail at maesp@mcsa.org Mail checks payable to MAESP and mail to: MAESP 3550 Amazonas Drive Jefferson City, MO 65109
If you do not receive confirmation within 10 days, please call the MAESP office at 573-638-2460 or e-mail at maesp@mcsa.org
NOTE: $10.00 of MAESP annual membership dues is for a one-year subscription to The Elementary Principal. In addition, MAESP members will receive the MCSA Legislative Bulletin weekly free of charge during the Legislative Session which extends January through May.
If paying by credit card or P.O., you may fax this form to 573-556-6270
MAESP 3550 Amazonas, Jefferson City, MO 65109
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