2017 SMMA Registration

Please complete the following information to submit your registration for membership in 2017. Fields marked with asterisk (*) are required. Upon successful submission of your information, you will be directed to PayPal to submit payment. If you prefer to register by mail, please download and print the 2017 Membership Form.

Contact Name*

Business Name*

Address, City, State, and Zip*

Business Phone*

Mobile Phone

Email Address*

Please enter your social media account addresses below (not required).

Facebook

Instagram

Twitter

Pinterest

Membership Option:

(Includes a small internet processing fee.)

Additional Donation for Holiday Decorations Fund (optional):

$

Total Fee:  $  please pay this amount via PayPal on the next screen