Application F APPLICATIION for MMTA HONORS THEORY PROJECT (You can copy and paste this text into a word processor, TYPE IN THE NECESSARY INFORMATION USING YOUR WORD PROCESSOR, and print. Please fit all information on ONE PAGE if possible.) PLEASE TYPE (using your word processor) List the names of students in order by grade: Name Composition Title Composer TEACHER INFORMATION(Name, Address, City, State, Zip): Teacher Telephone: Teacher Email: 1. Yes, my MMTA dues are paid (OR non-member teacher fee of $100 enclosed). Teacher's dues or non-member teacher fee MUST be paid by September 17, 2005 for students to be eligible. 2. My $30 conference pre-registration fee has been sent to Carol Borgstadt, 29327 Hwy PP, Concordia MO 64020. 3. My check for $________ is enclosed covering fees for _____ entries at $5.00 each. Entry fees become the property of the Missouri Music Teachers Association and are not refundable. Please send check, payable to MMTA, with a copy of this teacher application to: John Archer, MMTA Theory Chair, 801 Linzee Blvd, Pierce City, MO 65723, 417-476-3523, . APPLICATIONS POSTMARKED AFTER SEPTEMBER 17, 2005, WILL NOT BE ACCEPTED.