CONTRACT STUDENT MEMBERSHIP for the Missouri Restaurant Association Complete the application and click the submit button. Fill out the form as completely as possible. Omission of information may result in the application being rejected.

Name   School   Major   Date of Graduation   Year in School   School Address   School City   School State   School Zip   School Phone Number   Permanent Address   Permanent City   Permanent State   Permanent Zip   Permanent Phone Number   Cell Phone Number   Email Address   Sponsoring Faculty Member   Are you currently employed in the foodservice industry?    No  Yes If so, where?   Are you interested in joining or forming a student chapter of the MRA?    No  Yes Are you interested in receiving scholarship/grant information?    No  Yes Student Membership—$25.00 per year. Return application and check or money order to: Missouri Restaurant Association 1810 Craig Road, Ste. 225 • St. Louis, Missouri 63146 (877) 413-7029 • (314) 576-2999 www.morestaurants.org/www.showmerestaurants.com Credit Card No.  Exp. Date (mm/yy)  Name on Card    If you have any questions, please contact the Missouri Restaurant Association Headquarters: Toll free (877) 413-7029