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

Other
Years Attended
(e.g. 1974 - 1979)
What was your 'other' name at school, if any?
My school 'nickname'
Are you interested in volunteering?
Volunteer Interests
Pay dues
Select Membership
Payment options
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 Membership
Paid annually. Once selected, click submit to be taken to payment screen

$50.00



Bursary Level
Paid annually. Once selected, click submit to be taken to payment screen

$250.00



Scholarship Level
Paid annually. Once selected, click submit to be taken to payment screen

$500.00



Lifetime Member
This 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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Become a member of the MHAA Inc