MACTE Membership Change Form
This Form is For Adding or Removing Members During a Calendar Year

Institutions may have an unlimited number of individual members; however voting members are limited to the number indicated in the original membership paperwork.

Please complete as many forms as needed to list all new members/ changes.

If you have any questions or if you need an invoice for billing, please contact:

Tracy Smith – MACTE Executive Secretary
macteexecsecretary@gmail.com
(913)626-8583

Mail payment to:
5606 W 154th Street
Overland Park, KS 66223

Calendar Year:
Your answer
Institution:
Your answer
Choose One:
1. Member Name:
Your answer
Email Address:
Your answer
Office Phone:
Your answer
Voting Member
Please indicate the List Serv(s) you would like to add or remove: (Please select all)
Choose One:
2. Member Name:
Your answer
Email Address:
Your answer
Office Phone:
Your answer
Voting Member:
Please indicate the List Serv(s) you would like to add or remove: (Please select all)
Choose one:
3. Member Name:
Your answer
Email Address:
Your answer
Office Phone:
Your answer
Voting Member:
Please indicate the List Serv(s) you would like to add or remove: (Please select all)
Choose One:
4. Member Name:
Your answer
Email Address:
Your answer
Office Phone
Your answer
Voting Member:
Please indicate the List Serv(s) you would like to add or remove: (Please select all)
Submit
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