P.O. Box 111 • Mantua, Ohio 44255
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Membership
 

Yearly Dues:

  

Individual Patron    $25
0-5 Employees        $50
6-20 Employees      $100
21+ Employees       $150

Mail completed membership form and dues to:
MSACC
PO Box 111
Mantua, OH 44255

Print the membership form at right and mail.
Or, use the form below

Membership Application Form.pdf

Items with an have to be completed.
Company Name
Location
 
Mailing Address
 
Business Phone
Business Fax
Primary Contact Name
Title
E-mail
Number of Employees
Type of Business
Member Since
Secondary Contact Name
Business web site
Summary of Business
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