2019/2020 Security Sign Up

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Name(s): ________________________________________________________________

Address: ________________________________________________________________

______________________________________________________________________

Email: ________________________________________________________________

Phone: ________________________________________________________________

Member Level:

––––––– Underwriter: $1,500/year

_______ Sponsor: $1,000/year

_______ General: $500/year

Security Subscription includes a 2019 MAMA Membership.

Although a single payment is preferred, payments can be made in two installments.

Benefits begin / renew on March 1, 2019.

Please make your check out to MAMA and send to P.O Box 66735, Houston, Texas 77266

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