MISSISSIPPI PUBLIC TRANSIT ASSOCIATION ANNUAL MEMBERSHIP

MISSISSIPPI PUBLIC TRANSIT ASSOCIATION ANNUAL MEMBERSHIP

JANUARY 1, 2026 - DECEMBER 31, 2026 Dues must be received by March 31, 2026 to ensure eligibility for voting.
Agency or Business Name*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Format: (000) 000-0000.
E-mail*
example@example.com
Agency or Business Membership $ 300.00
Individual Membership $ 200.00 per person

List name(s) and email(s) of Individuals*

Individual members = Number of Members* x $200.00 = $ Subtotal*
Total Agency/Business plus Individual = $ = Overall Total *
Payment Method*
Pay By Check: Amount Enclosed:Check Amount PO Number:Purchase Order Number Here

Credit/Debit Card Payment

**Once you have made your payment in the checkout window, please return to this form to submit your membership application.**

To pay with a credit/debit card, please click here.

Checks are payable to:

Mississippi Public Transit Association

Mail check and form to:

Attn:MPTA BOARD TREASURER	Contact Information
P. O. Box 2277	mpta.boardtreasurer@gmail.com
Natchez, MS 39121-2277