Membership Application MRA Dues Schedule          MRA dues are based upon the previous years total retail sales in Maryland. Dues start at $150.00.  Call Chris DeSimone for your annual dues amount! Make Check Payable to MRA.  Amount Enclosed: ___________________________________   Or Credit Card Type: ________________________________ CC #: ____________________________________________ Expiration Date: ___________________ Security Code: ____________________ Name & Address On Card: _______________________________ ______________________________________________________ ______________________________________________________ Please Complete Below Contact Name: ____________________________________________________ Company Name: ____________________________________________________ ____________________________________________________ City: _________________________________________              State: _____________________ Zip Code: __________              Phone #: ______________________________________ Fax #: ________________________________________ E-mail: _______________________________________ Website: ______________________________________ Identify Member Classification _____Antique Dealer               _____Apparel/Accessory         _____Appliance                        _____Automotive                    _____Building Supply              _____Camera/Photographic _____Computer/Video             _____Dept Store                     _____Florist                             _____Food Dealer                  _____Furniture                        _____General Merchandise _____Home Entertainment     _____Jewelry                          _____Pharmacy                       _____Shoes                            _____Music/Books                 _____Other Please check any of the items below that may be of interest to you. Member Activity Interest                      _____Government Affairs                                         _____Loss Prevention _____Membership & Services Committee                _____Board of Directors       Member Benefit Programs _____Shopper/Loyalty Card Program            _____Health/Workers Comp. Insurance _____Manufactures Coupon Redemption       _____Telecommunications and Internet Services _____Credit Card/Debit Card Processing       _____Bad Check/Debt Collection _____Energy Services - - electricity and natural gas _____Store Design, Displays & Furnishings _____Check Services _____Property Casualty Insurance _____Office Supplies                                     _____Payroll Processing _____Travel Services