MMA Membership Registration Form

Become a Member

Join the Maine Mycological Association for access to our resources and scholarships, a subscription to our newsletter, and admission to summer forays and winter programming.
Membership Type *

New Member Renewal
Name *

First Name Last Name
Additional Family Members (if applicable)
E-mail *
Additional Email (for Joint Membership)
Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number: *

Area Code Phone Number
Date

Month Day Year
Date

Membership Rules
As a condition to participating in activities in conjunction with the Maine Mycological Association, Inc. (MMA), and in consideration of services provided by MMA, I agree as follows:
1. I understand that identification of mushrooms, fungi and other flora is a difficult and technical process, and that consumption of mushrooms, fungi and other flora may be dangerous. I also understand that reactions of individuals to consumption of mushrooms, fungi and other flora may vary.
2. I understand that information provided by MMA is not a sufficient basis upon which to decide to consume mushrooms, fungi or other flora. Any decision to consume mushrooms, fungi or other flora must be based upon my own personal knowledge. I take full responsibility for and assume all risk of any decision I may make, in conjunction with MMA activities or otherwise, now or in the future, to consume mushrooms, fungi or other flora.
3. I agree, for myself, my heirs, executors and assigns, that I will not sue or bring any claim, cause of action, demand or complaint whatsoever against MMA, or its individual officers or members, and their heirs, executors and assigns for
  any injuries, damages, costs, expenses, loss of service or any other claim whatsoever arising at any time relating in any way to (a) consumption of mushrooms, fungi or other flora in conjunction with MMA activities or otherwise, now or in the future, by myself or any other party, or (b) my participation in any activities in conjunction with MMA. I hereby, for myself, my heirs, executors and assigns, release and forever discharge the MMA and its individual officers and members, and their heirs, executors and assigns from any claim, cause of action, demand or complaint whatsoever arising at any time out of the subject matter described in this paragraph.
4. I further agree, for myself, my heirs, executors and assigns, to indemnify and hold harmless MMA and its individual officers and members, and their heirs, executors and assigns from any claims, cause of action, demand or complaint
  whatsoever arising from (a) consumption of mushrooms, fungi or other flora, now or in the future, by myself or any member of my family, or by any person whose claim, cause of action, demand or complaint arises from my acts or
  omissions, or, (b) my acts or omissions relating to my participation in any activities in conjunction with MMA.
Membership Agreement *

I HAVE CAREFULLY READ THIS AGREEMENT AND KNOW THE CONTENTS THEREOF AND SIGN IT AS MY OWN FREE ACT.
By completing this form and paying membership dues, you indicate that you agree to abide by the requirements of this waiver.

Membership Level

Memberships expire on December 31. New members who join after September 30 are paid through the following year.
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Individual Membership
$ 10.00

Joint Membership (2 Adults)
$ 12.00

Student Membership
$ 5.00

Under 18 Membership
Free

Total

$ 0.00
Membership Selection (Paypal)
Clicking "Submit" will prompt you to pay your membership dues via PayPal.
You may choose to pay with a credit card, debit card, or PayPal account.

If you have any questions, please reach out to mainemycological@gmail.com. Once your transaction is complete, you will begin to receive MMA communications. We look forward to seeing you at upcoming events.

Maine Mycological Association is an affiliate of the North American Mycological Association. To join the North American Mycological Association (NAMA) at the affiliated club rate, please visit their website at www.namyco.org for application and payment information.

Thank you!
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