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:_____________________

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)