Membership Transfer Form

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Missouri Association for Court Administration

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MACA Membership Transfer Form

Used only to transfer membership to new clerk within same City when the

current year membership is already paid.

Today's Date

Member ID (if known)

Individual's Membership Information:

First Time Member

Previous Member

Muni Court Clerk

Prosecutor Clerk

Circuit Clerk

Years of Service

Full Name:

Email Address:

Alternate name(s) you may be listed under:

If new, name of clerk you are replacing:

They:

Retired

Transferred

Name of Court:

Mailing Address:

Phone Number (include ext., if any):

Fax Number:

Division Type:

Municipal

Associate / Circuit

Prosecutor

County:

Circuit #:

MACA Region #: (1-9)

Thanks for submitting!

Missouri Association for Court Administration

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