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On Line Membership Application
Use the Following Form to Apply for MUSC Membership: Annual dues received on or before September 15th are $35.00
Annual dues Received after September 15th are $45.00
Benefits of membership include reduced monthly luncheon fees!
Applicant Information: Name: Company: Title: Address: City: St: Zip Code: Phone: Fax: Email: Describe your role in Marine Insurance: Marine Underwriter Marine Adjuster Marine Broker/Agent Marine Surveyor Marine Engineer Marine Attorney Risk Manager Other Member Sponsor Name: Sponsor Phone:
Visitor Number Site Updated July 21, 2006 For questions, corrections, suggestions about this web site, contact WebMaster Liz Yee