Professional Development Conference – Membership Registration SELECT YOUR REGISTRATION TYPE(Required) LMEA Member Early Bird (through December 5) LMEA Member (after December 5) University Student Elected Board Member LMEA DISTRICT (Where you teach)(Required)Select your districtDistrict 1District 2District 3District 4District 5District 6District 7District 8District 9College/University ProfessorUniversity StudentUNIVERSITY STUDENTS: Membership Number: Enter CollegiateExpiration Date: Enter 06/30/2025LMEA/NAfME Membership Number:(Required) Expiration Date:(Required) Month Day Year NAME(Required) First Last Name as you want it to appear on your conference badge(Required) Email(Required) Phone(Required)School(Required) School Address(Required) Mailing Address 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 I HAVE STUDENTS IN THESE ALL-STATE ENSEMBLES:(Required)Check all that apply. Not Applicable HS Concert or Symphonic Band HS Treble Choir or Mixed Choir HS Guitar Ensemble HS Jazz Ensemble HS Orchestra Handbell Ensemble MS Band MS Choir MS Jazz Ensemble MS String Ensemble Elected Board Members: Please select "Check" as PAYMENT PREFERENCE.PAYMENT PREFERENCE(Required) Credit Card Check CONFERENCE EARLY BIRD REGISTRATIONRegistration Deadline for Directors with All-State Students and for Early Bird Registrations is December 5, 2024.REGISTATION FEE Price: University Student Registration Price: LMEA Member Registration Price: Processing Fee Price: Processing Fee Price: Processing Fee Price: TOTAL AMOUNT DUE CREDIT CARD INFORMATION American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Name as it appears on credit card Billing Name First Last 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 PAYMENTS BY CHECKMake checks payable to: Louisiana Music Educators AssociationPostmark Deadline: December 5, 2024Mail your check and a copy of your emailed confirmation to:Brett Babineaux, Conference Registration Chair304 N. Michot Rd.Lafayette, LA 70508Observe all registration deadlines. Registration is not complete until payment is received.MAIN TEACHING AREA OR AREA OF INTEREST:(Required)Select your main teaching areaBandChoirElementary MusicGuitarJazzOrchestra/StringsOtherSELECT ALL GRADES YOU TEACH OR ARE INTERESTED IN:(Required) Elementary School (K-5) Middle School (6-8) High School (9-12) College/University Other SELECT ALL OTHER AREA(S) OF INTEREST: Band Choir Jazz Orchestra Elementary Music Fine Arts Guitar Piano Technology Handbells Non-Traditional Ensembles Other COMPLETING REGISTRATION(Required) I understand that my registration is not complete until my payment is received. CONFERENCE EXHIBITOR INFORMATION(Required) I am interested in receiving information and discount codes from our conference exhibitors through email I am not interested in receiving information or discount codes from our conference exhibitors through email Important: Click "Submit" ONLY ONCE. It may take a minute to complete the process. A receipt will be sent to the email address you provided. If you do not receive it, please check another folder.For additional help, contact lmea@lmeamusic.org. CommentsThis field is for validation purposes and should be left unchanged.