Membership Checkout

Membership Information

You have selected the Family Annual membership level.

Family Annual Membership

How to register as a Family Annual:

Primary Registrant, complete signup and pay. - You will have ONE family member by default in this registration, however, you can add up to 3 family members AND yourself for 4 total memberships within a single Family Annual membership.
Your 'Family Member Code' will appear in welcome email/thank you page which you share with family members.
Family member then enters their unique family code and registers their information.

NOTE: in a 'family' membership, this software uses the term 'seat' to apply to those in the group/family membership.
Your Family membership automatically generates with 2 members (yourself and a family member)

The price for membership is $49.00 per Year.

Membership expires on May 31, 2027.

Account Information

Username

Password

Confirm Password

Hint: The password should be at least twelve characters long. To make it stronger, use upper and lower case letters, numbers, and symbols like ! " ? $ % ^ & ).

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

Already have an account? Log in here

Make a Gift

Donation Amount

Please Consider a Donation to the Dan Clark Safety Fund

*Donations to the Dan Clark Safety Fund are not tax deductible.

Contact Information

First Name

Last Name

Phone.

Address

street name

Address Line 2

Suite or #

City

State

Zip Code

Emergency Contact Name

Emergency Contact Phone

How did you hear about MSTA?

Who Referred you to MSTA?

If someone referred you from MSTA, let us know!

Hide from Directory?

Exclude my email from the member directory

Exclude my birthdate from directory

Exclude my gender from member directory

Employer Or Company Hide From Directory

Occupation, Field Of Work, Or Study Hide From Directory

Avatar

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Group Account Information

You are purchasing 1 additional seat.

The price per seat is $10.00.

Group members will be able to claim the Family Member membership level.

Membership Map Address

Show on Membership Map

Street Name

City

State

Zip Code

Country

Would you like to set up automatic renewals?

Yes, renew at $49.00 per Year.

Choose Your Payment Method

Check Out with a Credit Card

Check Out with PayPal

Pay by Check

Billing Address

First Name

Last Name

Address 1

Address 2

City

State

Postal Code

Country

Phone

Accepted Credit Cards

You can checkout with either a credit card or your PayPal balance by logging into PayPal.

Credit card logos for Visa, Mastercard

For Non-PayPal Users

You can send a check, click here.(116KB, PDF)

Payment Information

Card Number

Expiration Date

CVC

I agree to the Membership Waiver

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