MEDA Membership Application Form

I am applying as:

 Active Member ($235)
 Associate Member ($235)
 Student Member ($25) (see requirements)

Name, Title, Organization and Address

 

Telephone:

Fax:

County:

Email Address:

My organization's website URL:

Brief description of economic development responsibilities:

 

How did you hear about MEDA / who referred you?
(If a current MEDA member referred you, please name them.)

 

Percent of time spent on economic development: