Registration

Please enter information in the form below to process your 2022-2023 Corporate Event Promoter Membership.

Title

My preferred title

First Name *

Last Name *

Organization *

Address *

Position/Job Title *

Address 2

City *

State *

Zip *

Country *

Phone *

Email *

Cell Phone

How did you hear about SMA? *

Name of member who referred you

Other referral method

What is your primary reason for applying for membership in SMA *

Other reason for applying

SMA Foundation Donation

$25

$50

$75

$100

I agree to these terms and conditions. *

Initiation Fee *

There is a $500 initiation fee

Payment Information

Amount

Payment Method

Authorize.net, SMA's secure payment processor

Billing Zip Code*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

By submitting this online form, I understand and agree that SMA will have my contact details for the purpose of processing my information and ensuring full participation.

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