2022 Conference Registration Form for Universities with Multiple Collegiates Colleges and universities can register up to 25 music students using this form. If submitting more than 25 students, you will need to submit the additional students on new form after completing this one. College or University's Contact Information:Name of College or University(Required) Name of Contact (Person Submitting Registration)(Required) First Last Contact's Email(Required) Contact's Phone(Required)Name of CNAfME Sponsor(Required) First Last Email of CNAfME Sponsor(Required) CNAfME Sponsor's PhoneStudent Registrations:Total Number of Students Being Registered:(Required)Select the number of students12345678910111213141516171819202122232425Collegiate - 1 First Last Collegiate - 2 First Last Collegiate - 3 First Last Collegiate - 4 First Last Collegiate - 5 First Last Collegiate - 6 First Last Collegiate - 7 First Last Collegiate - 8 First Last Collegiate - 9 First Last Collegiate - 10 First Last Collegiate - 11 First Last Collegiate - 12 First Last Collegiate - 13 First Last Collegiate - 14 First Last Collegiate - 15 First Last Collegiate - 16 First Last Collegiate - 17 First Last Collegiate - 18 First Last Collegiate - 19 First Last Collegiate - 20 First Last Collegiate - 21 First Last Collegiate - 22 First Last Collegiate - 23 First Last Collegiate - 24 First Last Collegiate - 25 First Last HiddenUpload a List of All Students Being RegisteredMax. file size: 512 MB.Payment Preference:(Required) I prefer to pay by credit card. I prefer to pay by check. Registration Fee ($20 per university student) Price: $0.00 Processing Fee Price: $8.00 Total Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name Billing Name First Name Last Name Billing Address Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Make check payable to: Louisiana Music Educators Association.Mail to: Scotty Walker, LMEA Conference Registration Chair410 Holden Ave.Lafayette, LA 70506All checks must be RECEIVED by November 13, 2023. If you're concerned it won't reach the Conference Registration Chair by that date, please plan to pay by credit card. Registration is not complete until payment is received.If you need additional help or have any concerns, please email: Scotty Walker, LMEA Conference Registration Chair, at swalker@lmeamusic.org or Sharon McNamara-Horne, LMEA Webmaster, at lmea@lmeamuic.org. Click SUBMIT once only. It may take a minute, but you will receive a confirmation screen and an auto email reply from lmea@lmeamusic.org.EmailThis field is for validation purposes and should be left unchanged.
