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Please check appropriate boxes: |
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New MembershipRenewal |
Individual: |
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$80 per person* All local memberships are for the calendar year |
Corporate: |
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$60.00 per person*
When two or three employees are from the same company. |
Corporate: |
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$50.00 per person*
When four or more employees are from the same company.
In the event of an employment change, the membership slot remains with the company when the membership has been paid by the company. |
Student: |
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$25.00 per person* when enrolled as a full-time student. |
*New Members joining after July 1st receive the remainder of the year plus the next calendar
year
for
the price of 12 months. For International memberships ($160), goto : www.mca-i.org. |
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| Membership Information |
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The 'CURRENT MEMBERS' link on our webpage will list your Name, Company, and Area of Expertise.
Please check permission boxes if you wish to also include your Phone, E-Mail, or Website; or, you may provide different information for web display. All other contact information will be kept confidential and used only for Chapter communications. |
* Denotes a required field when filling out this application. |
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*First Name: |
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*Last Name: |
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Title: |
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Company: |
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*Address: |
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*City, State, Zip |
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Business Phone: |
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Alternate Business Phone: |
(please do not use spaces or dashes)
Use this work number on the website, instead. |
Home Phone: |
(please do not use spaces or dashes) |
Fax: |
(please do not use spaces or dashes) |
Cell Phone: |
(please do not use spaces or dashes) |
*E-mail: |
Note: This is the email that will be used for MCAICT official communciations. |
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Alternate Email: |
Use this email on the website, instead. |
Website Address: |
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Alternate Website Address: |
Use this web address on the website, instead. |
*Profession/Expertise (Producer, Talent, etc. 6 words max.)
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What suggestions / ideas do you have for the chapter ?
(Formats, topics of interest, anything!) |
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How would you like to be involved with the chapter ?
(Committees, special events, meeting host, presenter, technical support, etc.) |
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Freelancer, Talent & Services Directory |
Directory appears on this website (distinct from Current Members page) and is printed for mailings.
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Yes, I want to be included in the Directory |
Please indicate the contact information as you would like it to appear in the directory: |
*Name: |
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Company (Optional):
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*Phone:
(only one phone# will be listed)
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(please do not use spaces or dashes) |
*Email or Website (Select One):
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Select up to three (3) categories for your listing: |
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