MCGATE Individual Membership Form
Maryland Coalition for Gifted and Talented Education
Please complete this form and submit it along with your payment via PayPal at
paypal.com/us/fundraiser/charity/1559130
or send a check made out to "MCGATE" by mail to:
MCGATE Membership, 609 Edgevale Road, Baltimore, MD 21210.
* Required
Member's first name
*
Your answer
Member's last name
*
Your answer
Prefix
Choose
Mr.
Mrs.
Ms.
Mx.
Dr.
Which district do you live in
*
Your answer
Member's email address
*
Your answer
Phone #
Your answer
Is this a gift? If so, please add the donor's name here.
Your answer
Member's mailing address
Your answer
City and State
Your answer
Zip code
*
Your answer
Membership Benefits
Individual members receive quarterly newsletters, legislative alerts, discounts on MCGATE conferences and webinars, have the right to nominate individuals or groups for awards/scholarships, have the right to hold office and
vote in elections. Annual membership runs from September 1 to August 31, dues are not prorated.
Select your membership option
*
Individual membership, one year, $25
Individual membership, two years, $40
If you are using PayPal and the name or email address on the PayPal account is different, please list it here so we can match payment to your application form.
Your answer
If you would like to make an additional donation toward our student essay contest please write in the amount below.
Your answer
Checks can be made out to "MCGATE" and mailed to us at: MCGATE Membership, 609 Edgevale Road, Baltimore, Maryland 21210.
Dues and donations may be tax deductible. We are a 501(c)(3) non-profit organization.
Payment via PayPal is accepted on our website at https://www.mcgate.org/join-us
Thank you for your membership and donation to MCGATE!
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
