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Theory Test Medal Order Form (SA)
Use the tab key or mouse to move between answer fields. Using the Enter key will submit your form.
Medal Orders may be placed between February 1 – June 15 for current year’s medals.
Use Replacement Medal Form for orders after June 15th or for replacing lost medals for prior years.
*Association and Alpha Code
Select
Association
Abilene ABL
Alliance ALC
Amarillo AMA
Arlington ARL
Austin District AUS
Bay Area BAY
Bluebonnet BLB
Beaumont BMN
Brazos Valley BRV
Brazosport BRZ
Brenham Area BRN
Carrollton CAR
Central Texas CNT
Coastal Plains CST
Conroe CNR
Corpus Christi CRP
Corsicana CRS
Cross Timbers CRT
Cypress Creek CYP
Dallas DLS
Dallas North DLN
Dallas Southwest DSW
Denton DNT
East Texas ET
Edgecliff EDG
El Paso ELP
Fort Worth FW
Forum FRM
Frisco FRI
Galveston Bay Area GLV
Garland GRL
Grand Prairie GRP
Grayson County GRC
Greater Dallas Group GDG
Greater Marshall MAR
Heart of Texas HTX
Houston HST
Houston Metropolitan HMT
Hunt County HNC
Huntsville HNV
Independent IND
Irving IRV
Jacksonville JAC
Katy KTY
Kingwood-Humble KNG
Lake Ray Hubbard LRH
Longview LNG
Lubbock LUB
Magic Valley MGV
Mesquite MSQ
Metroplex MET
MidCities MDC
Midland MID
Music Professionals Across Central Texas MPA
Nacogdoches NAC
NW Houston NWH
Odessa ODS
Pasadena Area PAS
Pearland PRL
Plainview PLV
Plano PLN
Richardson RCH
Rockwall RCK
San Angelo SNG
San Antonio SNT
San Jacinto SNJ
Victoria VIC
Waco WAC
Waxahachie WAX
Weatherford WTH
Wichita Falls WCH
Local Theory Chair
Receiver
List if different than chair
Address
City
State
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
*Email
Valid email is required
Confirmation will be e-mailed.
Medals
Gold Medals
Silver Medals
Bronze Medals
Instrumental Medals
Vocal Medals
Total
Mail a copy of the confirmation for this form and for the MP form with your check to
TMTA
1106 Clayton Lane, Suite 240W
Austin, TX 78723
Payment Instructions
When you receive email confirmation, a file will be attached. You may open or save the file. This is your confirmation page.
Print confirmation page and mail it and your check to
Texas Music Teachers Association
PO Box 831730
Richardson, TX 75083-1730
OR
You may pay by credit card using the Student Affiliate Activities Credit Card Payment Form upon completion of this form.
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