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TxMPA Membership Application
When you tap submit, by default the application will be submitted. After it is approved, an email invoice will be sent.
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* Required
Legal Name
*
Your answer
Nick Name (For Your Badge)
Your answer
Mailing Address
*
PO Box OR Street, City, State, Zip
Your answer
Email Address
*
Your answer
Cell Phone
*
Your answer
Other Phone, Fax, 2nd Email, ETC
Your answer
For which membership are you applying
*
Media
Industry
Associate/Influencer
Other (describe:)
Other:
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