New Supervised Member Registration 2009-2010

1. Name

First

Last

2. Ministry Name

3. Your Title

4. Mailing Address

5. Email Address

6. Organizational Web Site Address

7. Phone Numbers

8. I certify that I have the approval of my supervisor. (please provide supervisor's name)

The CMA Web site will list name, title, email address, and ministry name.

Organizational and individual member annual dues should be paid at first CMA meeting.