Secure Payment Form
Massachusetts Marine Trades Association
Professional Development Conference

Thursday, January 17, 2019

Showcase live@ Patriot Place
23 Patriot Place, Foxboro, MA 02035

$199 for the first registration
$149 for each additional registration

Yes, I would like to attend the Massachusetts Marine Trades Association Conference!

Number of Guests Attending (Include Yourself):
Guest Names & Companies
(Include yourself and enter full names for every guest):
Number Attending ($199 for the first person, $149 for each additional person) (automatic)
Email Address:

CC Type
Credit Card # Expiration Date:
Cardholder Name: CVV Code 3/4 Digits:
Card Holder Billing Statement Address: Statement Billing City:
Zip Code:
Total Program Enrollment Fee:
(see above)

Paying By Check?
Please remit you check payments to MMTA P.O. Box 325, Foxboro, MA 02035.
Please provide business name and names of each guest.

Thank you!