Membership Application

Please complete all fields and be sure to check the appropriate membership category.

Please send your check (payable to MSPRA) to MSPRA, 1001 Centennial Way - Suite 300, Lansing, MI 48917. If you would prefer to pay with credit card, please contact Danielle Bach (danielle@gomasa.org) or call (517) 327-2595.

Membership Application

First and Last Name

Position Title

School District

Address

Office Phone

Cell Phone

Fax

Alternate Email

Would you like to join an MSPRA Committee? Please make your selections (optional) Awards and Recognition Marketing Professional Development Technology

Membership

Please choose your membership (required) Institutional Membership $250 (Add up to 2 additional people) Professional Membership $125 Retired Membership $20

For Institutional Membership Only: List two additional people and their email addresses to be included under your Institutional Membership.

Name

Position Title

Name

Position Title

Security Check - To verify you are not a robot, please answer this question:

(fetching question...)