To become a member of MATBA, please complete this form
and return it with your check to the address below.
Annual Membership Dues: $75
Business Owner(s): _______________________________________________________
Business Name: _______________________________________________________
Business Address: _______________________________________________________
_______________________________________________________
Phone Number: ______________________________
Website Address: ________________________________________________________
Email Address: ________________________________________________________
Fax Number: _______________________________
Type of Business: ________________________________________________________
Year Business was Established: ___________________
Please send this form and a check payable to The Mid-Atlantic Tea Business Association to:
The Mid-Atlantic Tea Business Association