Midwest Circulation Management Association

Application for Membership Accompanied by Only $10.00

Date:
I hereby present my application for membership in the Midwest Circulation Management Association, And promise to abide by its Constitution and By-Laws created under its authority. I am an advertiser in connection with the compay located and/or distributed in the state of

EXTRACT FROM BY-LAWS ARTICLE XVI
The Association will offer associate memberships to advertisers who are qualified by reason of their interest in our association and who are sponsored for membership by two members from different newspapers or different groups of newspapers. The associate member is not privileged to vote or hold office, but will receive the Bulletin and all other normal benefits of our membership.

Name:
Position Title:
Phone:
Fax:
Email:
Company:
Address:
City:
State:
Zip:

I hereby authorize that I am recommended by:

of newspaper or newspaper group and of newspaper or newspaper group . Application fee of $10 must accompany this application.

EXTRACT FROM BY-LAWS
ARTICLE VIII - APPLICANTS
All applicants for membership shall be submitted in writing and shall be approved by at least two members of the association. Application thus made shall be filed with the Secretary-Treasurer of the association and by him/her placed before the association at the next meeting at which time they may be elected to membership provided that; if three or more members shall vote against acceptance of any applicant, his/her application shall be rejected.
ARTICLE IX - INITIATION FEE
An initiation fee of Ten Dollars shall accompany each application for membership in the association. This fee to be returned to applicant should applicant be for any reason rejected. Annual Dues to be paid upon acceptance.
REPORT OF MEMBERSHIP COMMITTEE
All membership dues are $35 annually - a bill will be mailed to you.
I authorize my digital signature for said purposes of membership.