Annual Membership

Terms:

$125 / year

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Company Name::* Company Name: is Required

Business Directory Listing:* Business Directory Listing is Required

Website:* Website is Required

Description of business:* Description of business is Required

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Strong" or stronger

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Please send payment to:

Mays Landing Merchants Association
P.O. Box 193
Mays Landing, NJ 08330

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