Media Communications Association-International












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MCA-I
International Office
Address & Phones
 
Media Communications
Association-International
c/o MCA-I Madison Chapter
P.O. Box 5135
Madison, WI 53705-0135
 
(888) 899-MCAI (6224)
Fax: (888) 862-8150

Executive Director
Lois Weiland

 

MCA-I Membership Application

MCA-I is a 501 (c) 3 non-profit association.

Please use this form to join for the first time as an Individual Member. This form is also used to Add Individual Members to a Commercial/Organizational/Educational Membership AFTER the Group Membership has been created.

At the present time, we prefer that all memberships are paid online using a credit card. You will be able to print a copy of your "invoice" after the transaction has been approved. If you cannot use the online method, please download the PDF.

Please do not use this application form for renewing an existing membership. To renew while your membership is still active, simply log on and at your control panel, click My Memberships. (Members of a Group Membership will not be able to renew until the Group has renewed.) If you do not see a Yellow Renew link, please contact membership@mca-i.org or call the Webmaster at 619-280-0420 (Pacific Time).

If you want to start the process for a Group Membership (Commerical/Organizational/Educational), use the Corporate Group Membership Application Form.

Student, Transitional and Retired Member Applications are subject to verification.

 
Section 1: User Information
Salutation
  
First Name*
  
Initials
  
Last Name*
  
Display Name
  
Company
  
Title
  
Address*
  
Address 2
  
City*
  
State*
  
Zip Code*
  
Country*
  
Address Type*
  
Phone*
  
Phone 2
  
Work Phone
  
Home Phone
  
Mobile Phone
  
E-mail*
  
E-mail 2
  
Web Site
  
Web Site 2
  
Hide in Search
Yes    No
 
Hide Address
Yes    No
 
Hide Email
Yes    No
 
Hide Phone
Yes    No
 
 
Section 2: Additional Addresses
Same as Primary Address   
 
Address
  
Address 2
  
City
  
State
  
Zip Code
  
Country
  
Address Type
  
 
Section 3: Membership Information
Chapter*
  
If you do not see a chapter in your area, please select At Large and contact the International Office to connect with other members in your area.

 
Organizational Add-on - Select Parent Company   
 
If you are part of a group membership (Organizational or Commercial) please select your parent company from this list.

 
Referral Source Member Name   
 
 
Section 4: Subscribe to MCA-I eNews!
Check to Subscribe to MCA-I eNews (recommended) or other information from MCA-I
MCA-I eNews
 
 
Section 5: Membership Type
Membership Type*
 $128.00 - Bronze Individual Add-on
$112.00 - Silver Individual Add-on
$96.00 - Gold Individual Add-on
$64.00 - Platinum Individual Add-on
$1,500.00 - Life Member
$160.00 - Individual
$155.00 - Organizational Individual Add-on
$100.00 - Transitional (for active Student Members transitioning to the work force)
$50.00 - Retired
$50.00 - Student (requires proof of student status)
 
 
Section 6: Payment
Payment Method*
    Credit card
 
Online Renewal by Credit Card is preferred. Please contact the Executive Director if you need an Invoice. And if paying by check, please print the pdf version of the form and send to the address on the left.

 
 
Section 7: Directory Listing
 

Your directory listing will be listed in a PUBLIC directory and included in the directory RSS feed for this site. Please do not include private information that you do not want made public in your directory listing.

Use my User Information
First Name
  
Last Name
  
Address
  
Address 2
  
City
  
State
  
Zip Code
  
Country
  
Phone
  
Phone 2
  
Fax
  
Website/URL
  
E-mail
  
E-mail 2
  
Headline
Category
 
Summary
  
Description
  
 

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