National Association of State Motorcycle Safety Administrators




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 Professional Membership Application

Non-Profit organization involved with or interested in state-administered motorcycle safety programs.

2008 Membership Dues $1,000.00
January 1, 2008 through December 31, 2008 

  REQUIRED INFORMATION

Organization:
                                                                                    
Representative's
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 $1,000.00, 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

 

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