Payment for Membership

To register and pay online, please use the form below. Be sure to add the name and email address of any additional employees that would like to receive FMA communications.

If you would prefer to be invoiced and mail in your membership dues, please download the membership form, fill it out and email it back to director@ftmeadealliance.org or fax to 443-926-9175. Click here to download the membership form.
New Membership or Membership Renewal?*
- New Membership
- Membership Renewal
If renewing, provide Invoice Number
Membership Level*
Company Information
Organization*
Address*
Street Address City State ZIP Code
Office Phone*
Website
Number of Employees*
Type of Business*
Check any of the following that apply to your business, whether or not you are certified as such with the SBA:
- Small Business
- Woman Owned
- Veteran Owned
- Service-Disabled Veteran Owned
- SBA 8(a)
- Minority Business Enterprise (MBE)
- HUB Zone located
Please indicate any of the following for which you have SBA certification:
- Small Business
- Woman Owned
- Veteran Owned
- Service-Disabled Veteran Owned
- SBA 8(a)
- Minority Business Enterprise (MBE)
- HUB Zone located
Point of Contact Information
Name*
Main POC First Name Main POC Last Name
Main POC Title*
Main POC Email*
Main Phone Alternate Phone
Billing Point of Contact (if different from Main POC)
Name
Billing POC First Name Billing POC Last Name
Billing POC Email
Communications
Please enter the name and email address of young professionals in your company under the age of 35 that would be interested in participating in our Rising Stars Program.
Please provide the names and email addresses of any additional employees that would like to receive FMA Communications
Would you like information about the FMA Foundation?*
- Yes
- No
How did you hear about the FMA?
Credit Card Information
Name*
CC First Name CC Last Name
Address*
CC Address CC City CC State CC Zip CC Country
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

The information contained in this website is for general information purposes only. Although every effort has been made to provide complete and accurate information, the Fort Meade Alliance makes no warranties, express or implied, or representations as to the accuracy of content on this website. The Fort Meade Alliance assumes no liability or responsibility for any errors or omissions in the information contained in this website or the operation of this website. Additional website links are provided for convenience only and does not indicate the Fort Meade Alliance's endorsement of its content or the operator of the linked site.

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Payment for Membership

Company Information

Point of Contact Information

Billing Point of Contact (if different from Main POC)

Communications

Credit Card Information

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Payment for Membership