PMA Associate Membership Application Form

Name of Firm:
Trading as (if different than above):
Business Address:

City, State ZIP:	,
Date Established:
Website address:
Email address:
Phone Number:
Fax Number:
Nature of Business:
Business References (should be property managers):
PMA Sponsor:

Names of your representatives to PMA (entitled to two representatives):

Dues: Associate Member: $760

Card Type:
Name on Card:
Card Number:
Exp. Date:

*This connection is not encrypted. If you are not comfortable with this, please call (301) 657-9200 to register over the phone or download the membership application and register via fax/mail.