MEMBERSHIP FORM
( Please print, complete, and return to MTA treasurer with check for dues and contributions.*)

Make payment using your credit card or mail to:

Robert DeLisle
Treasurer, MTA
Island Financial Services
2912 Cub Hill Road
Baltimore, MD 21234-1127

(Make check payable to Maryland Taxpayers Association, Inc.)

Dues and contributions schedule for Maryland residents:

2007 annual dues to MTA ($25 per family) . . . . . . _________
2007 any additional payments to MTA (any amount) ________
2007 SPONSOR ($100+ per family or company). . . . ________

TOTAL enclosed . . . . . . . . . . . . . . . . . . . .__________

Information about you:

IMPORTANT: Please include your email address and fax number, so we can keep you up to date on fast-breaking developments!

EMAIL ADDRESS:_____________________@ ______________________ [very important!]
Name: _______________________________________________________
Employer or Affiliation: __________________________________________
Address:______________________________________________________
City:_________________________________________________________
State:_____________________________________ Zip:________________
Telephone: (Day) ___________________ (Evening) ____________________
Fax Number: ______________________

Members can always call or e-mail for reports on fast-breaking developments, tell us about state or local tax, spending, or other abuses that we may be able to look into, request MTA speakers for local events, and, where appropriate, request MTA to consider supporting taxpayers on local issues.

To volunteer, email Richard Falknor, executive vice president, richardfalknor@roadstarinternet.net

Remember to stay current by checking www.mdtaxes.org frequently!

*Important: The Maryland Taxpayers Association values any contribution you can make, but please be aware that since we are a 501(c)4 advocacy organiziaton, your contibution is not tax-deductible as a charitable contribution. Your contribution may be deductible as a business expense, but please check with your tax adviser.

A copy of the current financial statement of the Maryland Taxpayers Association, Inc. is available upon request. Inquiries should be directed to MTA Secretary, 9613-C Harford Road, #527, Baltimore, MD 21234 (410) 922-0912, or, for the cost of copies and postage, documents and information submitted under the Maryland Solicitations Act are available through Secretary of State of Maryland at the State House, Annapolis, MD 21401.

For Virginia residents, contact the State Office of Consumer Affairs in the Department of Agriculture and Consumer Affairs, P.O. Box 1163, Richmond, VA 23218 (800) 552-9963.