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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