MDMA Membership Application

For your $10 annual dues you will receive our quarterly newsletter, a listing on our Member Directory page, and free advertising. Quite a deal for ten bucks!  Pictures must be sent in jpeg format no larger 40k or our website host will reject them - I will never receive them.  Your membership is good for the calendar year you join, as our year runs January through December.

Back to MDMA

Please print out this form and mail with your $10 dues to:
MDMA Treasurer



Name                   ______________________________________________________

Address                ______________________________________________________

Address2              ______________________________________________________

City, State, Zip     ______________________________________________________

Phone                  ______________________________________________________

Email                   ______________________________________________________

Website               ______________________________________________________

Main Interests      ______________________________________________________