Join the MTA !
Membership Application
**Membership
is one year from January 1st to December 31**
| Category | Membership Status
Renewal |
| Individual | $50 (one membership vote & privileges) |
| Family | $80 (Two membership votes & privileges) |
| Business |
$120
(Two membership votes &
privileges / plus four half page ads in newsletters) |
| Shop | $150 (Four membership votes & privileges for salaried staff members) |
| * Note: Only Montana residents are voting members | |
| Company Name: | Contact Name: |
| Mailing Address: | City, State, Zip |
| Phone: | FAX: |
| E-mail: | Website: |
| VISA | MASTERCARD |
| Card # | Expiration Date: |
| Amount $ | Signature |
MAKE CHECKS PAYABLE TO:
1167
Ph: (406) 752-4504 • Fax: (406) 752-4506
|
Office Use ONLY |