Name: A value is required. E-mail: A value is required. Business/Organization: A value is required. Billing Address: A value is required. Mailing Address (enter "Same" in not different): A value is required. Phone Number: A value is required. Type of Patron Level Requested: Individual Patron - $75.00 Professional Patron - $200.00 Business Patron - $500.00 Payment: You will receive a confirmation e-mail with the above information. Please print it and mail it with payment to: Maine Municipal Association 60 Community Drive Augusta, ME 04330 Your Patron Status will not be activated until payment is received. .
Name: A value is required.
E-mail: A value is required.
Business/Organization: A value is required.
Billing Address: A value is required.
Mailing Address (enter "Same" in not different): A value is required.
Phone Number: A value is required.
Individual Patron - $75.00
Professional Patron - $200.00
Business Patron - $500.00
Payment:
You will receive a confirmation e-mail with the above information. Please print it and mail it with payment to:
Maine Municipal Association 60 Community Drive Augusta, ME 04330 Your Patron Status will not be activated until payment is received.
Maine Municipal Association 60 Community Drive Augusta, ME 04330
.
