2026 MTVA Director Registration

Please complete the form below. Once you press submit, you will need to download the PDF invoice on the next page. Please print and submit that invoice with your payment to:

MTVA
Treasurer
P.O. Box 332454
Murfreesboro, TN 37133

You may also now pay by credit card on this form directly.

Registration closes September 4th. Printed invoice and payment must be postmarked one week after registration deadline.

Director Full Name

PrefixFirst NameMiddle NameLast Name

Type of Membership

Regional Association

MTSBOA Members joining MTVA, How are you paying your TMEA Fees?

Cell Phone

Format: (000) 000-0000.

Home E-Mail

Confirmation Emailexample@example.com

Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Did you change schools between 2025-2026 and the 2026-2027 School Year?

School Phone

Format: (000) 000-0000.

School E-Mail

Confirmation Emailexample@example.com

School Name

No Abbreviations

School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Preferred E-Mail for MTVA Communications (Mailchimp)

Confirmation EmailNote: Many school e-mails will block communications from Mailchimp. You can always change this address in the Directors Only Section of the website.

Do you currently teach in a Title I School?

Not counting the 2026-2027 school year, how many total years of teaching experience do you have?

Birth Month

Birth Date

Age Range

Ethnicity (Check all that apply)

Gender

Payment Type

Fees to be Paid:

Total Amount Due

Total Amount Due (with 3.0% + $.30 Fees)

Payment Amount

USDMTVA Membership Fees

Debit or Credit Card
Credit Card Number	Security Code
Expiration Month	Expiration Year

You may not get an e-mail with this information based on your e-mail client's filters.

If paying by Credit Card, you should recieve a reciept of payment from Stripe.

PLEASE DOWNLOAD PDF INVOICE ON THANKYOU PAGE ONCE YOU PRESS SUBMIT.