Master Reinstatement Application

Master Reinstatement Application

This form is required for any M&A Source member whose Master designation has lapsed for more than 12 months. Applicants must complete the reinstatement requirements as defined by The M&A Source or as approved by The M&A Source Credentialing Committee. Applicants must also hold a valid membership to The M&A Source.

Date

First Name*

Last Name*

Company

Address 1*

Address 2

City*

State/Province*

Zip/Postal Code*

Country

Phone:

Email:*

Reason for Lapse*

Select or enter value

Record of Experience from Lapse Date to Present:*

Payment Acknowledgement*

A non-refundable processing fee of $55 is due upon submittal of this application. Please login to your profile and pay via the online store HERE. By checking the box below, you are acknowledging that this $55 processing fee has already been paid. Your application will NOT be reviewed unless this fee is paid.

Electronic Signature:*

Next Steps

Once the application has been processed, notification will be sent approving or disapproving lapsed membership and/or credentials. Upon approval AND completing the required recertification requirements, the initials "M&AMI" or and/or the words "Mergers & Acquistions Master Intermediary" can once again be used in signatures, on business cards, websites, or other promotional material. Please contact education@masource.org with any questions.

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