MEMBERSHIP APPLICATION - MISSISSIPPI AUCTIONEER'S ASSOCIATION

Name: _______________________________________

Business Name: _____________________________________

Mailing Address: ________________________________________

City: ______________ State: ______ Zip Code: ___________

Business Phone: ___________________ Other Phone: _______________________

Fax #: ________________________________

Email Address: ________________________________

Auction School Attended: _____________________________________

Auction Area of Interest: _____________________________________________

Signature: _____________________________________ Date: ___________________

The MAA looks forward to your becoming a member.

MAIL THIS APPLICATION ALONG WITH A $100.00 CHECK
OR MONEY ORDER PAYABLE TO MAA.

MAIL TO:
Attn: Justin D. Edens
Mississippi Auctioneers Association
3720 Flowood Drive Flowood, MS 39232