Mid-Atlantic Indoor Network



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Mid-Atlantic Indoor Network

2016 Membership Application
Unit Information
Name of Unit:      
School Address:      

(if applicable)
Contact Information: (please type in the gray area)
Director:      
Address:      
Phone:       (will be used for contact information by show host)

Email:       (must provide an email for contact information)
----------------------------------------------------------------------------------------------------

I am enclosing the following payment: Please check all that apply-click on Gray box

NO purchase orders can be accepted at this time

$25.00 One Show Participation Fee (Non-Members only)



$50.00 One Time Bond Payment (New Members only)

$175.00 2016 MAIN Dues Fee Due by 1/31/2016

$275.00 2016 MAIN Dues Fee If after 1/31/2016
Make all Checks Payable to MAIN

----------------------------------------------------------------------------------Contest Contracts will be available upon confirmation from show sponsors to those units who have paid their dues
Please print and mail completed membership application and fee to:



For office use only
Date Received: _____________

Amount Received: _____________

Check #: _____________


MAIN

c/o Lauren Moffatt



322 E. Glenside Ave.

Glenside, PA 19038

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