Form – LMEA 25 Year Service Pin – Louisiana Music Educators Association

Online Form - Recognition For 25 Years of Service

To request the service pin, you must complete and submit either the online form OR the downloaded mail-in form by the deadline listed on the previous page. Your conference registration must also be submitted by that date.

"*" indicates required fields

Name*

Address*

Email*

Phone*

LMEA Membership Number*

Dates of Membership*

Preferred time for presentation*

We will try to honor your preference, however the exact time will be confirmed by an executive committee member or the conference chair.

Prior to the All-State Mixed Choir Concert

Prior to the All-State Orchestra Concert

Prior to the All-State Jazz Ensemble Concert

Prior to the All-State Concert Band Performance

Comments or Concerns (if any)