Join - Maritime Technology Alliance

Membership Application

As a not-for-profit, MTA is dependent upon membership fees and grant funding to remain viable. While the Alliance receives some funding through a grant from the State of Maryland Office of Military & Federal Affairs, individual and corporate memberships are essential.

A number of annual membership options are available:

Individual Membership $50/yr
Organization Membership (50 or less employees) $200/yr
Organization Membership (51-100 employees) $400/yr
Organization Membership (101-500 employees) $500/yr
Organization Membership (more than 500 employees) $800/yr

Please fill in and submit the form below and mail your check for the correct amount to:
    Maritime Technology Alliance
    Attn: Robert Keane
    4913 Red Hill Road
    Keedysville, MD 21756-1445

Your financial support is greatly appreciated!

Annual Membership Option:*

Individual ($50)

Organization -- less than 50 employees ($200)

Organization -- 51-100 employees ($400)

Organization --101-500 employees ($500)

Organization -- more than 500 employees ($800)

Name:*

First

Last

Organization Name:*

Address:*

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeCountry

Phone*

Area Code

Phone Number

Cell Phone

Area Code

Cell Phone Number

E-mail:*

Web Site

Business Description

Please send me an invoice

Yes

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