MISSOURI ASSOCIATION
OF SCHOOL ADMINISTRATORS
Associate Membership Application

(MASA Membership Year is from July 1, 2007 to June 30, 2008)

Individual Associate Member - Any person actively engaged in, or associated with, any phase of school work or otherwise interested in educational administration in Missouri shall be eligible for an individual associate membership in the Association. Individuals employed as administrators in Missouri public school districts shall not be eligible for associate membership.

Name:
Address:
City/State/Zip:
Telephone Fax 
E-Mail

College/Institution Name:
College/Institution Address:
City/State/Zip


Would you like MASA to provide a link to your college/institution Internet site?
Yes No
Internet site Address:

Check Membership Status:

MASA Associate Membership Dues @ $50

Add $25 if one set of MASA member labels is desired. (A full set of 2007-2008 MASA mailing labels will not be available until November 1, 2007.)

Payment Information

TOTAL DUE: $ 

Method of Payment

Check will be mailed made payable to MASA.
Purchase Order Number: (please invoice)
Credit Card: If you wish to pay by credit card (Master card or Visa), please complete your enrollment form, submit and then call the MASA office at 573-638-4825 to insure confidentiality of your credit card information.