Membership Application

Yes, I want to become a member of the Mail Systems Management Association. Please accept my dues and register me in the Chicago MSMA Chapter.

Simply fill out this form and submit it using the button at the bottom. Or, if you prefer, print this page out after you have filled it out and mail it in with your check or money order.
Please mail to the following address:

MSMA - Chicago Chapter
P.O. Box 1145
N. Riverside, IL 60546-1145

Annual Dues
	Individual Membership ($100)
	Corp. membership ($200 for 3)

New or Renewal?
	New Membership
	Renewal

Chicago Chapter
MSMA MEMBERSHIP INFORMATION:

(Required fields in bold)

Name:

Company Name:

Street Address:

City:

State:

Zip Code:

Phone:

Fax:

Email:

Additional Comments?