MNA Membership Form Using Paypal

Welcome to the MNA Membership Registration Page Using Paypal or Credit Card!

Whether you are a new member, or returning for another amazing year, please register with us by filling out the form below. Thank you for your support!
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Username^*
Password^*
Password must be at least 7 characters long.
Enter password again^*
Password must be at least 7 characters long.
First Name^*
Last Name^*
Organization
Address

Address Line 1 ^*

Address Line 2

City ^*

State or Region ^*

Country

Zip ^*

Email^*
Phone Number^*
Membership Level (select one for membership record):^*
1. Household $20.00

2. Individual $15.00

3. Senior $7.50 (62 years and older)

5. Organization $25.00

The section below starts the process of payment.
Membership Level (pull down option and select quantity)::^*
×
Please consider an additional gift to support MNA special intiatives. Note: the Mary and Bob Stevenson beautification fund helps fund the Maplewood Garden Team Dewey Avenue gardens.
General Fund
Mary & Bob Stevenson Fund
MNA is a not-for-profit 501(c)(3). A portion of your donation may be tax deductible. Consult your tax advisor.
Click on Total Price to update amount.
Select a payment method^*

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