Membership Form

Membership Form

Thank You
Become a member of the MHAA Inc
Date*

MonthDayYear
Date
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
School Attended

MunroHamptonOther
Years Attended
(e.g. 1974 - 1979)
What was your 'other' name at school, if any?
My school 'nickname'
Are you interested in volunteering?

YesNo
Volunteer Interests
Pay dues
Select Membership*

Basic - $50 annuallyBursary Level - $250 annuallyScholarship Level - $500 annuallyLifetime Member - $1000 one time payment
Payment options*

Pay by credit card/paypalPay using Zelle (munrohamptonflorida@gmail.com)Pay by check
To pay with Zelle, after clicking Submit, use your Zelle app to send dues payment to munrohamptonflorida@gmail.com. Make sure to state the reason for the payment in the notes section.
To pay with a check, after clicking Submit, please mail check payable to Munro Hampton Alumni Association Inc. to the following address:

Dona-Lee Messam
4010 SW 68th Way
Miramar, FL 33023
Credit Card/Paypal - Select desired level
prevnext( X )
Basic MembershipPaid annually. Once selected, click submit to be taken to payment screen
$50.00



Bursary LevelPaid annually. Once selected, click submit to be taken to payment screen
$250.00



Scholarship LevelPaid annually. Once selected, click submit to be taken to payment screen
$500.00



Lifetime MemberThis is a one-time payment. Once selected, click submit to be taken to payment screen
$1,000.00



Total

$0.00
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Membership Form

Become a member of the MHAA Inc

Pay dues