Mea Mehaza

Membership request

Join our community. Submit your details for review by the association. Submission does not guarantee membership approval.

Mea Mehaza Association (MMA) — Membership profile

Complete your profile for association review. Fields marked * are required. Spouse and children details are optional; provide them only when needed and with appropriate permission. A typed signature records your confirmation.

1. Personal details

Full name *

Date of birth

Sex

Occupation (optional)

Marital status

2. Current address & contact details

Street address *

City / country *

State / province *

ZIP / postal code *

Phone

Home phone

Email address *

3. Spouse (optional)

Spouse full name (first, middle, last)

Spouse date of birth

Spouse sex

Spouse occupation (optional)

4. Children (optional — up to seven)

Child 1 full name

Child 1 date of birth

Child 1 sex

Child 2 full name

Child 2 date of birth

Child 2 sex

Child 3 full name

Child 3 date of birth

Child 3 sex

Child 4 full name

Child 4 date of birth

Child 4 sex

Child 5 full name

Child 5 date of birth

Child 5 sex

Child 6 full name

Child 6 date of birth

Child 6 sex

Child 7 full name

Child 7 date of birth

Child 7 sex

5. Why you would like to join

Why would you like to join? *

6. Bylaws & applicant confirmation

I have read and agree to obey the association bylaws passed at the first general conference on July 28, 2012, in Denver, Colorado. *

Full name confirming this application *

Typed signature (type your full name) *

Date signed *

I agree that the association may use my details to process this request. Privacy policy

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