Membership Form

	MSC's Online Membership Registration Page Note: All registrations are final. No refunds can be issued after registration has been confirmed by mail or phone.
You may print out the info and fax it, send it U.S. post, or submit it by e-mail. Fax Number: (414) 223-4689 Phone:(414) 223-4MSC Address: MSC 823 E. Kilbourn Milwaukee, WI. 53202
	(Click here for print out after filling out form)

Contact Information:


Name:
Gender:
Address:
City:
Zip:
Email:
Occupation
How did you hear about MSC?
Credit Card Information
Name on Credit Card
Credit Card
Card Number
Amount to Charge Membership=$50.00
Exp. Date (Ex. 07/09)
Please ensure all info. is Correct before Submitting!