MEANT Membership Application Form

Membership Application Form

To apply for membership please complete all questions. Annual membership is valid for the calendar year (Expires on 12/31)
Membership Type*
Primary Name*

First NameMiddle NameLast Name
Spouse Name

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
E-mail*
example@example.com
Primary Number*
Format: (000) 000-0000.
Home Number
Format: (000) 000-0000.
Cellular Number
Format: (000) 000-0000.
Qualifying Degree*
Native Place*
College of graduation*
Your Job Title*
Employer*
Special Interests
Spouse Details
Spouse Email
example@example.com
Spouse Native Place
Spouse Company
Spouse Primary Number
Format: (000) 000-0000.
Spouse College of Graduation
Spouse Qualifying Degree*
Do you have a child/children?
Children's Details
Child Name1
Sex(M/F)
Grade
Age
Date of Birth
Special Interests
Child Name2
Sex(M/F)
Grade
Age
Date of Birth
Special Interests
Child Name3
Sex(M/F)
Grade
Age
Date of Birth
Special Interests
Child Name4
Sex(M/F)
Grade
Age
Date of Birth
Special Interests
Requested Membership Level*
Please note that MEANT membership runs annually from January 1 to December 31 and is not prorated. Memberships expire on December 31 each year. If you have any questions, feel free to reach out to us at communications@meant.org
Paypal Payment Options*
prevnext( X )
Family Membership
$125.00



Student Membership
$40.00



Life membership
$1,000.00
I hereby promise to abide by the constitution and bylaws of MEANT. I understand that the information provided above may be accessible to other members of MEANT. I promise that if I get access to similar information about other members I will not use it for unauthorized purposes. I confirm that I possess the necessary qualifications for membership as required by the current bylaws of MEANT.
Print Signature Below
Signature Date
Signature Date*

MonthDayYear
Date
Sponsoring Member Details

Detail of an existing MEANT Member who can introduce you to MEANT BoD.
Sponsoring Member Name*
Name of an existing MEANT Member who can introduce you to MEANT BoD.
Sponsoring Member Email*
Email of an existing MEANT Member who can introduce you to MEANT BoD.
Sponsoring Member Phone Number*
Phone No of an existing MEANT Member who can introduce you to MEANT BoD.Format: (000) 000-0000.
LIFE Member
2024 Membership Status
2025Membership Status
2026 Membership Status
2027 Membership Status
2028 Membership Status
2029 Membership Status
Should be Empty:

Membership Application Form

Spouse Details

Children's Details

Sponsoring Member Details