docMASSP Membership 05-06 - Minnesota Association of Secondary
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MASSP Membership 05-06 - Minnesota Association of Secondary
Minnesota Association of Secondary School Principals National Association of Secondary School Principals Membership Application 2016-2017 (Please update information below) Name Sal First MI Preferred First Name Last Title Years Principal School Years Current Position E-Mail School Address School Phone ext Fax District Cell Phone District # Grade Code Home Address Home Phone Date_____________ Date of Birth MASSP Division Signature_______________________________________________ MEMBERSHIP (please check) MASSP Dues NASSP Dues Active .................................................................................................. $583.00 $250.00 Working Interns ................................................................................... $126.00 $250.00 Members on Leave (Examples: RIF, Mobility, Sabbatical)............... $126.00 $250.00 Associate (Examples: College, University & State Department Staff).. $66.00 $250.00 Colleague (Examples: Graduate Student, Teacher)......................... $55.00 $85.00 Retired ............................................................................................. $22.00 $50.00 First time NASSP members may join NASSP for only $215.00 when joining MASSP Division Dues Capitol $15.00 Central $15.00 Hennepin $20.00 Northeast $25.00 Northern $25.00 Southeast $15.00 Southwest $30.00 Western $20.00 EdLeaders Network (ELN) Subscription Individual MASSP member rate - $99.00 For Group subscription rates go to http://www.edleadersnetwork.org MASSP Dues NASSP Dues $_________ $_________ Division Dues $_________ EdLeaders Network (ELN) Subscription $_________ Total $_________ Method of Payment (please check) Payment Enclosed Purchase Order Enclosed Payroll Deduction 5 Payments- Active MASSP/NASSP- $167.60 Must be paid in full by March 1, 2017 includes $5.00 handling fee 5 Payments Active MASSP- $117.60 Must be paid in full by March 1, 2017 includes $5.00 handling fee Minnesota Association of Secondary School Principals 1667 Snelling Avenue N, Suite C100 St. Paul, MN 55108-2131 Telephone (651) 999-7333 Fax (651) 999-7331 Because of money spent on lobbying efforts; only 92% of MASSP dues is deductible for income tax purposes. MASSP OFFICE USE - PLEASE DO NOT WRITE IN THIS SPACE Minnesota Association of Secondary School Principals National Association of Secondary School Principals Membership Application 2016-2017 (Please update information below) Name Sal First MI Preferred First Name Last Title Years Principal School Years Current Position E-Mail School Address School Phone ext Fax District Cell Phone District # Grade Code Home Address Home Phone Date_____________ Date of Birth MASSP Division Signature_______________________________________________ MEMBERSHIP (please check) MASSP Dues NASSP Dues Active .................................................................................................. $583.00 $250.00 Working Interns ................................................................................... $126.00 $250.00 Members on Leave (Examples: RIF, Mobility, Sabbatical)............... $126.00 $250.00 Associate (Examples: College, University & State Department Staff).. $66.00 $250.00 Colleague (Examples: Graduate Student, Teacher)......................... $55.00 $85.00 Retired ............................................................................................. $22.00 $50.00 First time NASSP members may join NASSP for only $215.00 when joining MASSP Division Dues Capitol $15.00 Central $15.00 Hennepin $20.00 Northeast $25.00 Northern $25.00 Southeast $15.00 Southwest $30.00 Western $20.00 EdLeaders Network (ELN) Subscription Individual MASSP member rate - $99.00 For Group subscription rates go to http://www.edleadersnetwork.org MASSP Dues NASSP Dues $_________ $_________ Division Dues $_________ EdLeaders Network (ELN) Subscription $_________ Total $_________ Method of Payment (please check) Payment Enclosed Purchase Order Enclosed Payroll Deduction 5 Payments- Active MASSP/NASSP- $167.60 Must be paid in full by March 1, 2017 includes $5.00 handling fee 5 Payments Active MASSP- $117.60 Must be paid in full by March 1, 2017 includes $5.00 handling fee Minnesota Association of Secondary School Principals 1667 Snelling Avenue N, Suite C100 St. Paul, MN 55108-2131 Telephone (651) 999-7333 Fax (651) 999-7331 Because of money spent on lobbying efforts; only 92% of MASSP dues is deductible for income tax purposes. MASSP OFFICE USE - PLEASE DO NOT WRITE IN THIS SPACE