1 year individual full MPAG membership.

Your membership application is subject to MPAG Board review. In the unlikely event that it is not approved, your application fees will be refunded.

Note: You WILL be required to sign a paper copy of the membership application upon attendance of your first club event.

Full 1 year membership (adult)

Name

Member Number (for existing members only)

Birth date

City

Address

State

Zip Code

Home Phone

Work/Cell Phone

Email

Shoot Site?

Interest or Experience in Pyrotechnics?

Signature

I certify the information in this application for membership is true.

I hereby certify this to be true

Date & Time (click calendar icon)

Qty

1 year individual full MPAG membership.Your membership application is subject to MPAG Board review.&..

$88.00 Ex Tax: $88.00

Add an additional junior family member to an existing adult MPAG membership account..

$11.00 Ex Tax: $11.00

Add an additional adult family member to an existing adult MPAG membership account...

$16.00 Ex Tax: $16.00