MMAE >> Membership | Renew Membership: Step One

MMAE Membership Renewal by Mail

Print Application:

If you'd prefer to mail your membership application or pay by check, please click on the image below to download and print the MMAE Membership Application.

Please mail your application to:

MMAE
1112 Harding Place
Suite 200
Charlotte, NC 28204
704-376-3688

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Renew Your Membership Online Now:

Current members - or individuals who wish to rejoin MMAE - can now conveniently renew your membership, pay your annual dues and make donations online. Thank you for your continued membership in MMAE. Your support is important to us and we welcome your participation in building a healthier community. Please note our membership/fiscal year runs June 1st - May 31st each year.

(Note: This page is for individuals who have previously registered as a member of MMAE. If you wish to become a MMAE member, please visit our New Member Application page to join online. If you simply need to update your contact information, click here to email membership your updates.)

Step 1: Enter Member information (Current Members or Individuals Rejoining MMAE)

To keep our member list current, please complete this form:

*First Name

*Last Name

*Spouse's Full Name

*Spouse's Specialty

*Address 1:

Address 2:

*City

*State

*Zip Code

Home Phone:

Work or Alt Phone:

Birthdate - Month

Birthdate - Day

*Email address
*Note: You will receive more information after joining about your communication preferences and how to access to the Members' Website.

I am interested in learning more about the following MMAE committees:
(To choose more than one, hold down Control on a PC or Command on a Mac and make your selections.)

Comments: (Optional)

*Required