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: Mrs. Ainsley Tetreault, MCGATE Membership Chair, 6110 Tracey’s Overlook Rd., Tracy’s Landing, MD 20779.

If you choose to add on a parent membership to NAGC, please use the QR code below or http://bit.ly/joinNAGC and enter the code "MCGTE19" in the "referred by" field. NAGC will give MCGATE $10 for every NAGC affiliate parent membership.
Member's first name *
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Member's last name *
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Prefix
Which district do you live in *
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Member's email address *
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Phone #
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Is this a gift? If so, please add the donor's name here.
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Member's mailing address
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City and State
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Zip code
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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. Individual members are eligible to add on a one-year parent membership to NAGC for a rate of $59.00.
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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.
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If you would like to make an additional donation toward our student essay contest please write in the amount below.
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Checks can be made out to "MCGATE" and mailed to us at: Mrs. Ainsley Tetreault, MCGATE Membership Chair, 6110 Tracey’s Overlook Rd., Tracy’s Landing, MD 20779.
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!
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