Joining MTAM

* Indicates required questions
If you would like access to members-only content, discounts, events, and other premium members-only benefits, please complete the information below to register for membership in the Mobile Technology Association of Michigan. Please make note of your selected access information for future reference. Please submit your annual membership payment via the PayPal link in the left column. You will receive a membership confirmation once your payment has been processed, as well as access to the 'members-only' section of the MTAM website.
Name *
First
Last
Job Title *
How were you referred to our organization? (check one) *
Website
Meetup Group
Twitter
LinkedIN
Facebook
Personal Referral
Mobile Monday
Search Engine
Automation Alley
Small Business Assn of Michigan
Other - Please specify:
Preferred Communication Method *
Text Message Email
Company Name *
Website *
Work Phone # *
Home Phone # *
MTAM members may occasionally receive updates via mobile message; do you agree that MTAM may contact you via mobile (if you do not agree, you may miss out on certain benefits and special opportunities)? If yes, you will need to provide your cell phone number below. *
Yes No
Mobile Phone #
Email *
Preferred Mailing Address *
Work Home
Address *
City *
State *
Zip/Postal Code *
-
Please provide a brief description of your company and it's products / services that we may use for your listing on our website. *
Type of Membership *
Charter ($9,750 per year - limited # available)
Non-Michigan-based ($4,950 per year)
Corporate ($1700 per year)
Non-profit / Education Institution ($500 per year)
Government ($500 per year)
Small Business ($285 per year)
Individual ($175 per year)
Student ($50 per year)
Relationship to the Mobile Industry *
Mobile App Development
Mobile/Wireless Infrastructure Firm
Bluetooth Technology Provider
Carrier / Service Plan Provider
GPS Technology Provider
Mobile Marketing Services
Mobile/Wireless Device Manufacturer
Mobile/Wireless Accessories Mftr / Distributor
Mobile/Wireless Technology Re-seller
Mobile/Wireless Technology Consulting
Mobile/Wireless Technology User - Outside Industry
Mobile/Wireless Technology Manufacturer
Mobile Web Development Firm
Mobile/Wireless Monitoring & Management
Mobile/Wireless Education / Training Provider
Other - Please specify:
Do you wish to make your contact information available to MTAM members who wish to provide you with services, information or opportunities? *
Yes No
Do you wish to make your contact information available to non-MTAM members who wish to provide you with services, information or opportunities? *
Yes No
Username *
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