GKC Chapter STUDENT Conference Registration Form for payment with a credit card.

To register online and pay with a credit card, please submit the following info and an invoice will be returned to your email within 48 HOURS for payment.

Conference Prices:

COLLEGE STUDENTS rate is $20.00, which includes the cost of your lunch. Other conference information can be found on the website page: http://www.moaeyc.org/GKC2020.php

NAEYC Member*

YESNO

NAEYC membership number (if applicable)

I am not a member, but want to add a membership to NAEYC.

YES, please process my membership
No, not at this time

Membership Options

Entry Level- Digital ONLY- $30.00
Standard Level - Printed Journals and a Book- $69.00
Premium Level- Both Journals, Free BOOKS, $150.00

First Name *

Last Name *

MOPD ID -If Missouri Resident

Email Address*

Address *

City*

State*

Zip*

College You Attend *

Student Number *

Phone number (cell, work, or home)*

My area of interest is

Infants/Toddlers
Preschool/Pre K
Administration

Today's Date *

Payment Instructions

I understand that the conference fees will be based on my NAEYC membership status and the date the application is received. An invoice will be generated and returned to the sender by email for payment with a credit card, through PayPal-WITHIN THE NEXT 48 HOURS. I understand no Pay Pal account is required.