WTVMEA Membership Application

Membership Application

Simply completing this online application does not grant you membership in the West Tennessee Vocal Music Educators Association. Your identity and eligibility for membership will be verified by the WTVMEA Secretary and you will be contacted. All appropriate fees and dues must be paid by the appropriate deadlines (as stated in the WTVMEA Constitution and By-Laws) for active status to be achieved.

This is not a secure submission. It is possible your information may be intercepted during transmission. If you wish to fax or mail in this information, you may download the form (PDF or Word).

Please complete this form and click on the Submit button
at the bottom of this page when you are ready to send.

Name:
Address:
City:
State:	TN MS AR KY
Zip:
Home Phone:	(please include area code)
Cell Phone:	(please include area code)
Home email address:	A valid and complete email address must be entered. You will receive a confirmation of your request at the email you enter here.
Work email address:
School Name:
School address:
School City:
School State:	TN MS
School Zip:
School Phone:	(please include area code)
Fax Number:	(please include area code) School Fax Home Fax No Fax Available
School District:	(county, special, etc...)
Students I Teach:	Middle School High School Both
Are you an accompanist?:	Yes No
MENC Membership #:	(please list it exactly as it appears on your MENC card)
MENC Expiration Date:	(please list it exactly as it appears on your MENC card)

Please allow 5 - 10 days for your request to be processed. You will receive an email at the home email addresses above informing you of the status of your request. Thank you!

To request the change.

To clear this form.

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