MAAO Membership Application

Please provide the following contact information:

            ► denotes required data.

►	Name
	Title
►	Office
►	Work Address
	(cont.)
►	City
►	State
►	Zip Code
►	Work Phone
	Work FAX
►	Work E-mail
	Home Address
	(cont.)
	City
	State
	Zip Code
	Home Phone

Annual dues are $20.00 per year.

Annual membership is from January 1st through December 31st in a given calendar year. ALL dues shall be payable in full and are not prorated.

To join the Maryland Association of Assessing Officers send this completed form along with your annual dues to:

Treasurer Dan Phillips at the Department of Assessments and Taxation,           201 Baptist Street, Salisbury, MD 21801.