mRenew Administrative Fields (visible to admins only) arrowup6 Waiver 1 signed Yes Waiver 2 signed Yes Waiver 3 signed Yes Waiver 4 signed Yes Email 1 pre-edit Email 2 pre-edit Email 3 pre-edit Email 4 pre-edit Email 1 post-edit Email 2 post-edit Email 3 post-edit Email 4 post-edit Name 1 pre-edit Name 2 pre-edit Name 3 pre-edit Name 4 pre-edit Name 1 post-edit Name 2 post-edit Name 3 post-edit Name 4 post-edit Adult 1 chg Adult 2 chg Adult 3 chg Adult 4 chg Parent? 1 pre-edit Parent? 2 pre-edit Parent? 3 pre-edit Parent? 4 pre-edit Expire year after renewal Populated by snippet. Used more than once Duplicate email? Children/minors? Yes No Renewal You are currently paid up through 12/31/2024. Pay by check Pay by check If you prefer not to pay online with a PayPal account or credit card, you can select the “Pay by check” option. After you submit this form, mail a check to us using the address provided in your renewal confirmation email. Once your check has been received and recorded, your new expiration date will become effective. Your current account information is displayed below. Update any information that has changed before submitting your membership renewal. You can also change your membership type if desired. If you need help using this form, please contact our webmaster. For questions about membership, contact our membership coordinator. Your Current Membership Membership type * Individual $20Family $25Student $15 Click in this box to change Join year Year joined Current expire year Good thru Provide the number of adults (including yourself) in your household you wish to include on this membership. Each adult is required to sign a waiver for themselves and any household children/minors they are a parent or legal guardian for. Adults * 1 2 3 4 Adults (18 or over) living in the same household. Primary Member (yourself) First name * Last name * Email * Email use * ALL communications (newsletters, event news, etc.) ONLY required account notifications Are you the parent or legal guardian of any children/minors included on this membership? * Yes No Your children/minors Household children/minors that you signed for as parent or legal guardian on your current waiver. A change in name, email address, or parent/guardian status requires that you re-sign your waiver on the next page. Resign waiver? Re-sign waiver? Check this box to re-sign your waiver if needed on the next page. This will allow you to update your children listed on your current waiver shown above. No current signed waiver was found on file. You will be able to sign your waiver on the next page. Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Phone * NAMA member? Yes No Are you currently a member of the North American Mycological Association (NAMA)? A discount is given on NAMA memberships if you have an MMS membership. Paul Bunyan Mushroom Chapter (NEW) Yes No PBM Chapter members are those MMS members who identify as part of the PBM Chapter or are interested in attending forays, educational programs and social activities in north-central Minnesota. Most programs currently are within 80 miles of the Bemidji area. Other Adult Members of your Household Include members of your household so they can attend MMS forays and events. Membership is not required to attend our meetings which are open to the public. Adults will be required to sign a waiver for themselves and any children/minors listed on this membership that they are a legal guardian or parent for. First name 2 * Last name 2 * Email 2 * Email use 2 * ALL communications (newsletters, events, etc.) ONLY required account notifications Parent or legal guardian of any children/minors included on this membership? * Yes No Adult 2 children Household children/minors listed on this parent’s current waiver. Resign waiver 2? Re-sign waiver 2? Check this box so this parent’s minors listed above can be updated. A link to re-sign their waiver will be sent to them after this renewal is submitted. No current signed waiver was found on file. This member will receive a link via email to sign their waiver after renewal is completed. Attention: This member will receive a link via email to re-sign their waiver after renewal is completed. A change in name, email address, or parent/guardian status requires a resigned waiver. First name 3 * Last name 3 * Email 3 * Email use 3 * ALL communications (newsletters, event news, etc.) ONLY required account notifications Parent or legal guardian of any children/minors included on this membership? * Yes No Adult 3 children Household children/minors listed on this parent’s current waiver. Resign waiver 3? Re-sign waiver 3? Check this box so this parent’s minors listed above can be updated. A link to re-sign their waiver will be sent to them after this renewal is submitted. No current signed waiver was found on file. This member will receive a link via email to sign their waiver after renewal is completed. Attention: This member will receive a link via email to re-sign their waiver after renewal is completed. A change in name, email address, or parent/guardian status requires a resigned waiver. First name 4 * Last name 4 * Email 4 * Email use 4 * ALL communications (newsletters, event news, etc.) ONLY required account notifications Parent or legal guardian of any children/minors included on this membership? * Yes No Adult 4 children Household children/minors listed on this parent’s current waiver. Resign waiver 4? Re-sign waiver 4? Check this box so this parent’s minors listed above can be updated. A link to re-sign their waiver will be sent to them after this renewal is submitted. No current signed waiver was found on file. This member will receive a link via email to sign their waiver after renewal is completed. Attention: This member will receive a link via email to re-sign their waiver after renewal is completed. A change in name, email address, or parent/guardian status requires a resigned waiver. Duplicate email found: An email address was used for more than one adult on this renewal form. Each adult on an MMS membership must have a unique email address of their own to independently sign our waivier. Renewal cannot be completed until this is corrected. If you are human, leave this field blank. Next Δ