membership application

Written by  Randy Carey

This form should be completed by all new members and by current members who would like to update their profile information.  Memberships (new and renewal) requires payment (see the membership dues page ).

 

Membership Application
  1. Today's Date*
    Invalid Input
  2. Number of Years*
    Selection the number of years for which you are applying.
  3. Application Type*
    Please declare if this is a new membership or a renewal.
  4. Type of Membership*
    You must select a membership type
    "Junior" membership is reserved for those under 18.
  5. Method of Payment*
    Select the payment method
  6. Name*
    Enter your name.
  7. Address*
    Enter your street address.
  8. City*
    Enter your city.
  9. State*
    Enter your state.
  10. Zip*
    Enter your zip code.
  11. Phone
    Enter your phone number
  12. Email Address*
    Enter your email address.
  13. Please enter the 4 characters shown here
    Please enter the 4 characters shown here
    Invalid Input
  14. Submit your app to MAS
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