MARYLAND ASSOCIATION OF AFFIRMATIVE ACTION OFFICERS (MAAAO)

P.O. BOX 3482
ANNAPOLIS, MD 21403
www.maaao.org

MEMBERSHIP APPLICATION OR RENEWAL

NAME	____________________________________________________________
TITLE	____________________________________________________________
ORGANIZATION	____________________________________________________________
ADDRESS	____________________________________________________________
	____________________________________________________________
TELEPHONE	____________________________________________________________
FAX	____________________________________________________________
E-MAIL	____________________________________________________________

Participating Membership	$100.00
[Membership for one person per organization and admission to all membership meetings]
Sustaining Membership	$225.00
[Membership for up to four people per organization and one admission to each of the membership meetings. Please complete information for all members below]

Please note that membership fees do not include admission to any all-day conferences either hosted or co-hosted by MAAAO.

MAAAO is a Federally Registered Not-for-Profit Association: Federal ID #E52-1264923.

Please make checks payable to MAAAO, enclose this form with your remittance, and mail to:

MAAAO
P. O. Box 3482
Annapolis, MD 21403

 

SUSTAINING MEMBERSHIP
Additional Members

NAME #2	____________________________________________________________
TITLE	____________________________________________________________
ORGANIZATION	____________________________________________________________
ADDRESS	____________________________________________________________
	____________________________________________________________
TELEPHONE	____________________________________________________________
FAX	____________________________________________________________
E-MAIL	____________________________________________________________

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NAME #3	____________________________________________________________
TITLE	____________________________________________________________
ORGANIZATION	____________________________________________________________
ADDRESS	____________________________________________________________
	____________________________________________________________
TELEPHONE	____________________________________________________________
FAX	____________________________________________________________
E-MAIL	____________________________________________________________

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NAME #4	____________________________________________________________
TITLE	____________________________________________________________
ORGANIZATION	____________________________________________________________
ADDRESS	____________________________________________________________
	____________________________________________________________
TELEPHONE	____________________________________________________________
FAX	____________________________________________________________
E-MAIL	____________________________________________________________