Membership Application Form

Step 1 of 4

Active or Affiliate: $585 due with application
NMTA Board of Trustees will determine Membership Type
$585 Total Due - NMTA Annual Member Dues

DBA Name(Required)

Doing Business As

Legal Company Name(Required)

Company Description(Required)

First sentence from website or about us page (255 Character Limit Including Spaces)

Washington Business License Number - UBI(Required)

Unified Business Identifier required for members who participate in boat shows

State ID

Required if outside of WA

Business Structure(Required)

Corporation

Sole Proprietorship

Partnership

Other

Number of Employees(Required)

Business Type(Required)

Retail

Manufacturer or Supplier

Marine Affiliated Org

Contact Person(Required)

For NMTA correspondence

First Last

Email(Required)

Voting Member(Required)

This will be used if the membership is designated by the NMTA Board of Trustees as an Active Member

First Last

Website URL(Required)

Type "none" if no website

Work Phone(Required)

Cell Phone

Physical Address(Required)

Street Address Address Line 2 City State ZIP Code

Mailing Address(Required)

Same as Physical Address

Street Address Address Line 2 City State ZIP Code

Membership Fee

Price:

Total Due

Credit Card(Required)

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Billing Address

Same as Physical Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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