Www.shapemichigan.us
THE BEST OF THE MIDWEST TEACHER FESTThursday August 15, 2019 Western Michigan UniversityName: ______________________________________________________ Address: ____________________________________________________City, State, Zip: _______________________________________________ Email: ______________________________________________________ School Name: ________________________________________________ Members of SHAPE America, or any Mid-West State uses Member RateMember RateNon-MemberProfessional Member $65Professional Non Member $100Future Professional Member $35Future Professional Non-Member $50SHAPE Michigan Professional Membership $40 SHAPE Michigan Future Professional Membership $40Membership must be active through August, 2019 to qualify for Member rates!State Member: ○ Illinois ○ Indiana ○ Michigan ○ Ohio ○ Wisconsin ○ West Virginia SHAPE America Membership # _________________________________________________NOTE: School PO's are NOT Considered Payment! Registration is Not complete until payment Check payable to: SHAPE Michigan PO Box 208 Laingsburg, MI 48848 ................
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