Emeritus Associate Membership Application 1 - Year

Each applicant for membership as an Emeritus Associate member must be an individual retired or transferred from the position of State Administrator or State Coordinator of a state motorcycle safety program.

2008-2009 Membership Dues September 1, 2008 - August 31, 2009

$35.00

REQUIRED INFORMATION  Name:                                                                                   Address:    City:    State:    Zip Code:    Phone:    Email:   Providing your email address is very important as we communicate with our membership largely by email.

Print this form and mail with your check in the amount of $35.00, payable to SMSA to: SMSA Business Office 7881 S. Wellington Street Centennial, Colorado  80122-3193

For additional information, please call 303-797-2318
Fax:  303-703-3569
Email:  smsabusinessmgr@smsa.org