MMA Membership Application                                    Pay Your Annual MMA Membership Dues On-Line                
Print and fill in this form and mail with your check for $20.00 PER PERSON, per year      Annual Membership Dues are due in January of each year.
to:

Mr. Terry Fancher, President
Mountain Meadows Association
16 Spencer Street
Braintree, MA 02184

Name: ___________________________________________________

Street Address: ___________________________________________

City:_____________________________________________________

State:__________________________ Zip Code:_________________

Day Time Phone: __________________________

Evening Phone Number:____________________

E-Mail Address:___________________________________________

Are you a relative of a family involved?            ___Yes   ___ No   

If yes, which family?______________________________________

Amount Enclosed: ________________ ($20.00 per person/minimum)