Application F

APPLICATION for MMTA HONORS THEORY PROJECT


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NECESSARY INFORMATION USING YOUR WORD PROCESSOR, and 
print.  Please fit all information on ONE PAGE if possible.)

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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 16, 2006 for 
students to be eligible.

2. My $40 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, 801 Linzee Blvd, Pierce City, MO 65723, jarcher@sofnet.com.

APPLICATIONS POSTMARKED AFTER SEPTEMBER 16, 2006, WILL NOT BE ACCEPTED.