2025 Alternate Associate - PR Firm / Agency - MTJA Membership Renewal Form

Alternate Associate - PR Firm/Agency MTJA Membership Renewal Form
Overview
The MTJA Associate and Alternate Associate membership renewal period will open Oct. 1, 2024. All renewals and payments need to be received by 5 p.m. (Central time) on Nov. 15, 2024. A $25 late fee will be instituted after Nov. 15, 2024. Any renewals received after Nov. 27, 2024 will not be included in the 2025 Membership Directory.

Alternate Associate - PR Firm / Agency
Date
Company / Organization
Organization's Assigned Representative Name

First NameLast NameLast Name (if required)
Representative's Email
Job Title
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone number you would like listed in the directory
Please enter a valid phone number.
Birthday (optional)
Jpeg photo for MTJA Membership Card

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Organization's Website
Client List (if PR Firm/Agency)
Organization's Facebook
Organization's Instagram
Organization's X (formerly Twitter)
Organization's Threads
Awards/Honors/Affiliations (member may list up to 5 items received within 7 years. If more than 5 items are submited, we will accept the first 5 only.)

Alternate Associate Member - PR Firm/Agency
1. Submit a dated (2024) letter on your organization’s letterhead from your immediate supervisor affirming your continued occupation in the role that earned your membership in MTJA.

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Alternate Associate - PR Firm/Agency MTJA Membership Renewal Form