MPMA New Member Registration

Join the MPMP

Please fill out this form and pay your Membership Dues to join the MPMA.
Business Owner*

First NameLast Name
Phone Number*
E-mail*
Business Name*
Business Phone Number
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Website
Social Media
Type of Business*
Business Images

New members are highlighted on the MPMA social media accounts and website. Please include the images you would like used to represent your business. If you do not provide an image, we will choose one from your website or social media account.
Logo & Store Images (4 max)

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If you do not provide an image, we will choose one from your website or social media account.*

I understand and agree
Newsletter Subscriptions

The MPMA newsletter is the best way to stay informed of the latest news and announcement that affect Magnolia Park merchants. You'll automatically be signed up for the newsletter with your Membership Registration. Be sure let us know if you don't start receiving MPMA emails.
Submit Date*

MonthDayYear
Membership Dues & Renewal

Membership renews automatically each year unless canceled. If you are paying by check, your registration is not complete until payment has been received.
Annual Membership Dues*
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MPMA Membership Paid Annually$100 Membership + $5 Processing Fee
$105.00 for each year



MPMA Membership Paid Monthly$100 Membership + $20 Processing Fee
$10.00 for each month



Pay Annually By CheckPlease write your $100 check to MAGNOLIA PARK MERCHANTS ASSOCIATION and mail it or drop it off during business hours at Blast From the Past at 3117 W. Magnolia Blvd., Burbank, CA 91505. Your Membership Registration is not complete until payment has been received.
$ Free   for each year
Questions, Comments, or Additional Info
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Join the MPMP

Business Images

Newsletter Subscriptions

Membership Dues & Renewal