Membership Online Zoom Conference – Saturday, October 5, 2024 This field is hidden when viewing the formNext Steps: Install a Payment Add-OnTo accept payments on this form you will need to install one of our payment add-ons. To learn more about your payment add-on options, visit the following page (https://www.gravityforms.com/blog/payment-add-ons). Important: Delete this tip before you publish the form.Registration and Membership InformationName(Required) First Last Email(Required) Enter Email Confirm Email Snail Mail Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Is this a new address(Required)YesNoAre you a renewing member?YesNoPhone(Required)Institutional Affiliation(Required)I would be willing to serve as an MCEA Campus Representative(Required) Yes No If you are unsure, please ask Janet Heller at janetheller@charter.net about these very minimal duties.Registration(Required) $40.00 :: Full-time Faculty $20.00 :: Part-time, Lecturer, Adjunct, and Retired Faculty $10.00 :: Students* $20.00 :: I can’t be at the conference, but here is my membership fee. The registration fee includes registration for the conference and a 2024-2025 academic year membership in the MCEA. I would like to sponsor a student to attend Quantity Price: $10.00 Quantity Number of tickets needed(Required)Total Registrations are not considered complete until payment is received. *Scholarships are available for students. Please contact Ed Demerly at edemerly@aol.com Make checks payable to the “Michigan College English Association and mail to the Michigan CEA 2024 Treasurer and Conference Registrar: David Settle1749 Woodgate DriveLowell, MI 49331 All payments must be snail-mailed by Sept. 21, 2024. The MCEA will acknowledge receipt of registration via email. If you are unable to send a check, please email the MCEA Treasurer, David Settle at dsettle7@comcast.net, about the possibility of a PayPal transfer.This field is hidden when viewing the formCredit CardReplace this field with a field specific to your payment gateway whenever possible.NameThis field is for validation purposes and should be left unchanged. Δ