MISSOURI ASSOCIATION
OF SCHOOL ADMINISTRATORS
Business Associate Membership Application

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

Business Associate Member - Any business that markets either products or services to the public schools or who wishes to provide support to public school superintendents through their professional association shall be eligible for a business associate membership in the Association.

Company
Name:
Company Address:
City/State/Zip:
Telephone Fax 
Would you like MASA to provide a link to your company Internet site?
Yes No
Company Web site Address:

Contact
Person:
Contact Person
Position
Address:
City/State/Zip

E-Mail

Check Membership Status:

MASA Business Associate Dues @ $150

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.