MAPT - Member's Only: Sign-up

PLEASE REGISTER

If you are already a member, please log in.

To become a member of MAPT, please complete the following information. We accept all major credit cards through PayPal as well as checks for payment. If you choose to pay by mail, you will need to forward your payment to:

Jim Engstrom, MAPT Membership Chair
Bloomington School District # 271
8801 Lyndale Avenue South
Bloomington, MN 55420-2795

Please to direct questions to:
Email: Jengstro@bloomington.k12.mn.us
Phone: 952-681-6325

When payment is received, your membership will be activated.
All fields marked with an * are required.

*	Membership Type:	MAPT Base Membership ( $50.00 ) Subscription to the Minnesota Association for Pupil Transportation for one year
*	Payment Method:	PayPal - secure credit card payment Offline Payment - Pay by Check

*	First Name:
*	Last Name:
*	Address:
*	City:
*	State:
*	Zip:
*	Country:
*	E-Mail Address:
*	Phone Number:
	Fax Number:

*	Organization:
	District #:
*	Position Title:
	OR, Other Position Title:
*	Primary Organizational Affiliation:
	Select a MAPT Region:	View our Region Map
*	Select Your County:

Please choose a Username and Password:
Choosing a username and password allows you to access all of the "Members Only" information. Your login name must be 4 or more characters in length and may only contain small letters, numbers, and the underscore '_'

*	Choose a Login Name:	check for uniqueness
*	Choose a Password:	Must be 4 or more characters
*	Enter password again:

Before submitting this application, print a copy for your records.