Membership Application

Please complete the following form, print and return with payment to:

                MITA, PO Box 12186, Columbia, SC 29211

We also invite you to complete the survey and return it with your application.
Click on the link at left to access the survey.

Check one:
New member	Referred by:
Renewal
Membership Type:	Individual ($75)       Corporate ($150)

Name
Company
Address
City
State/Zip
Phone
Fax
Email
URL

For Corporate Applications, please list up to three additional members:

Name	Email

Company Function (please check one)

	Manufacturer
	Service Provider
	Export Trading/Management
	Other