Renew Your Membership Name * First Name Last Name Email * Spouces Name First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Cell Phone (###) ### #### Home Phone (###) ### #### Renewal Dues * Regular Member $200 Gold Member $225 Gold Member Upgrade for Existing Member $275 Crew Member $75 Credit Card Number * Exporation Date * Security Number * Thank you for renewing your HMSA membership. Please fill out the form below to renew your membershipIf you would like to pay by check please download the PDF form and mail it to the HMSA office.