Registration

Registration for MAC Membership

Credit Union Marketers - $295 - Associate Members - $295 - Additional CU Marketers or Associate Members - $195

First Name*

Last Name*

Title*

Organization*

Address*

City*

State*		Zip*

Phone*

Fax

E-mail*

Web site URL

Username*

Password*

Verify Password*

Fields marked with an asterisk (*) are required.

Membership Type*

Payment Method*

CU Marketer

Check

Associate

Credit Card

*Membership is active when payment is received. You will not be
invoiced. Please print this page for your internal check processing.

Credit Union applicants please provide
the following:

Membership

Assets

Charter type

Core System

MCIF System

Upload a profile photo:


Acceptable file formats: PNG, JPEG, or GIF. Maximum file size: 2MB.

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