MAMEA Membership

Pay Dues Online!

To pay online, fill in the following form and click on the Submit button. You will be taken to a PayPal where you can submit payment (no PayPal account required).

To pay by check, please submit this form, print the confirmation and mail it, along with $15 - payable to MAMEA - to:

Lori Hans
MAMEA Treasurer
719 Fiske Lane
Newark, DE 19711

MAMEA Membership Form

1. Name:

2. E-mail Address:

3. Position/Title:

4. School or Institution:

5. Mailing Address:

6. Is this address:
Home
Work

7. Phone:

8. Fax:

9. Please select the state/district for which you would like to be a member:

Delaware
Maryland
North Carolina
Virginia
Washington DC

10. Membership type?

Annual membership (Jan 1 - Dec 31) — $15
Lifetime membership — $200

11. Is this a new membership or renewal?

New membership
Renewal
Not sure

12. Please sign me up for the MAMEA email discussion list.

Yes
No

13. I will pay via:

Paypal
Mail in check

Type in the word MAMEA (so we know you're not a robot):

Thank you very much.