MARES General Membership Application

Upon submission of this application, an invoice will be generated and mailed to you for your dues payment.

Please provide the following contact information:

Organization	*
Street Address	*
Address (cont.)
City	*
State	*
Zip/Postal Code	*
Web Address
Number of Employees
Amount Due	$200.00

The first person listed is the primary contact and will be designated to receive MARES mailings. You must designate at least one representative and may include up to three representatives per company membership. All representatives will be contacted via email and/or fax communications.

Representative #1
First Name	*
Last Name	*
Title
Work Phone	* Ext.
Mobile Phone
FAX
E-mail

Representative #2
First Name
Last Name
Title
Work Phone	Ext.
Mobile Phone
FAX
E-mail

Representative #3
First Name
Last Name
Title
Work Phone	Ext.
Mobile Phone
FAX
E-mail

May your company name be used on MARES stationary and promotional pieces? (This is only for MARES promotions, NOT for outside advertisers or Associate Members)

Yes, MARES may use our company name
No, MARES may not use our company name

May MARES Associate Members telephone your company's designated representatives, listed above, to provide them with discount and/or promotional information?

Yes, MARES may telephone our company's representatives
No, MARES may not telephone our company's representatives

MARES General Membership Application

Representative #1

Representative #2

Representative #3