Join

We make joining MMA easy! Just fill out the form below, or download the membership application and return it via fax or mail. We will invoice you for your annual membership dues.

To request a membership packet to be sent to you, please contact Shannon Hillman at 601-292-1127.
Membership Application
(Adobe PDF File)

General Information

Please provide general information about your company.

* Company Name   
* Address   
* City   
* State
* Zip Code   
Mailing Address
Mailing City
Mailing State
Mailing Zip Code
* County   
* Phone   
Fax
Website
Establish Link From MMA's Website? 
Product/Service Description
NAICS Code(s)
Number of Employees
* Email Address   

Primary Contact Information

Enter the primary contact for your company.

* Name   
* Title   
* Phone   
Fax:
* Email Address   

Determining Your Dues

Select your number of employees from the list below, the annual dues are listed next to the number of employees.


Staff Members

To help us distribute information most effectively, please indicate staff members with responsibility in the following areas. Where possible, we will try to direct our mailings accordingly.


* Name   
* Title   
* Email   
* Phone