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STAFF MEMBERSHIP APPLICATION
2021-22 MCAA Membership Application
The annual membership term runs from September 1st through August 31st of the following year, congruent with each school year.
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Email
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Membership Type
School Membership ($200/ year) - covers up to 10 staff members. $20 / person for each additional staff member
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School or Organization
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School Address
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School Representative - Cell Phone Number
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School Representative - Personal Email
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School's Twitter Handle
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Mail Payment, Registration Form and contact list to the address below. Forms can also be emailed to Nadia Leverette at
nadia.leverette@gmail.com
Payments: If your school requires a vendor form or Invoice, please download it from the website.
www.mcaofal.com
click DOWNLOADS
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CHECK: Please make check payable to Minority Coaches of Alabama. Mail checks to: Minority Coaches of Alabama Attention: Rueben Nelson 700 60th street Fairfield, AL 35064
ALL FORMS CAN BE FOUND ON THE WEBSITE UNDER DOWNLOADS.
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