Text Box:               

GKCMPA Membership Form & Registration for November 14 @ the Stadium Club, Kauffman Stadium.  Mail check (payable to GKCMPA) and Membership 
Form to :

Mike Brown, Treasurer,
Plaza Middle School,
6501 NW 72nd St
Kansas City, MO 64151											

Or Fax form and P.O. number to Mike Brown at (816) 741-2425


Text Box: 			
Circle Choice of Payment Options
Option 1 -- Package Deal 
Membership			$20.00
All Meetings Package		$70.00
Total				$90.00
Option 2 – Separate Meetings
Membership			$20.00
Fall Meeting			$30.00
Winter Meeting			$30.00
Spring Meeting			$30.00
Total				$110.00


Meeting payments are due at registration of each meeting or all at once by selecting option 1 using this form

 

Name __________________________________________________

 

Position ________________________________________________

 

School District ___________________________________________

 

School Name_____________________________________________

 

School Address __________________________________________

 

                          __________________________________________

 

School Phone ____________________________________________

 

School e-mail Address ____________________________________

Be sure to include this to receive all future information on GKCMPA, MASSP, and legislative updates.