2019 Online MRA Dues Submission Form

Welcome to our online dues submission form. Instead of filling out the paper dues packet you will fill in all of the same information from the paper form in this online form and you will be able to upload your Team Roster in Excel at the bottom of the form. You will still mail your check to:

Mountain Rescue Association
PO BOX 880868
San Diego, CA 92168

If you want to mail your dues with a signature required please send to:

Kayley Bell
C/O DSD Business Systems
8787 Complex Dr STE 400
San Diego, CA 92123

If you have any questions please contact:

Kayley Bell
kayley@mra.org
858.229.4295

Dues Year*
What year are you paying dues for? i.e. 2018 or 2019

Team Name*
Pick your team name from the dropdown box.

# of Active Team Members*
Active Members are defined as but are not limited to Any Members, Rescue Member, Full Member, Support Member, Trainee, Probationary, Field Associate, Associate and all other terminologies that describe participating members of the Mountain Rescue Unit or Team.

Amount of Dues*
Dues are $15 per member with a minimum of 15 members:
15 Members or less: $225
16 - 66 Member $15 X # of members
67 Members or more $1000

Team Address*

Team City*

Team State*

Team Zip Code*

Team Country*

Team Business Phone

Team Email

Team Website

Team Contact
The person you specify for this category is the person that will receive all pertinent information regarding the MRA, items include but are not limited to, pro-deals, dues invoices, and conference information. Please choose this person carefully so that all information gets back to your team.

Team Contact Name*

Team Contact Address*

Team Contact City*

Team Contact State*

Team Contact Zip*

Team Contact Country*

Team Contact Email*

Team Contact Mobile Phone*

Dues Contact
The person you specify will be contacted if there is an issue with your dues payment or electronic roster.

Dues Contact Name*

Dues Contact Email*

Dues Contact Phone*

Statistics Contact
This person you specify will be responsible for entering in your team’s statistics into the ESRI online portal and will be given the login for online web-based statistics program for your team.

Statistics Contact Name*

Statistics Contact Email*

Statistics Contact Mobile*

Roster*
Please upload your roster in Excel format. Please remember email addresses for your team in order to receive pro-deals and membership cards. Spreadsheet should be in the following format.
First Name, Last Name, Team, Address, City, State, Zip , Email

To send your file click the upload button below and find your roster file on your computer. When you submit it will send you roster directly to MRA.

Send me a copy of my responses

Email address