Membership Application

First Name	Last Name
Title	Organization
Street Address	City, State, Zip
Phone	Fax
E-mail	URL
Level	Payment
Name on Card	Card Number
Expiration

The application to The Maritime Association of the Port of NY/NJ is subject to approval by its Officers and Directors. Membership dues will be charged or billed accordingly on an annual basis.

Please note that transmitting your credit card number over the Internet is not deemed to be secure. If you desire, transmit your membership information to us and telephone us with the credit card number at 212.425.5704

*Associate Membership is limited to individuals beyond 50 mile radius of New York City, and is limited to publication material and conference/event information.