Thank you!

Your registration for the 2017 PMEA District 12 Fall Inservice Conference is complete.

PLEASE PRINT THIS FORM, FILL IT OUT, AND MAIL IT WITH YOUR CHECK TO:

Kevin Cooper
1414 W. Woodbank Way
West Chester, PA 19380

Checks should be made payable to PMEA District 12


Name: _______________________________________________


School District: _______________________________________________


Membership Status (check one):
▢ Active Member ($30)
▢ Retired Member ($15)
▢ Non-Member ($60)
▢ PCMEA Member ($15)
▢ Student Teacher ($15)

Reminders

Please postmark your payment no later than October 13, 2017.

Click here to return to the District 12 website