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:
$279 Active Membership (for principals & asst. principals) $139.50 First-Year Membership (one-time benefit only) $25 Retired Membership $279 Lifetime Retired Membership $330 Institutional Membership $25 Student/Aspiring Membership $150 Associate Membership
Dues for a first-year principal/asst. principal are 50% of active amount ($139.50) Check here if you are a first-year principal (this is a one-time benefit only)
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. Check here if you are including $20 for Northeast District Dues.
Return to MAESP Membership page for more information about membership categories.
NAESP Dues MAESP receives a small incentive if our members join NAESP through MAESP. Please consider remitting your NAESP dues through the MAESP office. 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 Dues and/or Registration: $
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, Visa or Discover), please complete your enrollment form, submit and then call the MAESP office at 573-638-2460 to insure confidentiality of your credit card information.
Please send us a color photo for use in the MAESP Pictorial Directory by e-mail to maesp@mcsa.org or by snail mail to the address below. We must have your picture by December 1.
Mail checks payable to MAESP and mail checks and/or photos to: MAESP 3550 Amazonas Drive Jefferson City, MO 65109
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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