INSTRUCTIONS FOR THE REGISTRAR:
Please note, if this is the first time registration for your [COI] Organization, Church or you as Individual (not registering as an organization or church), you will not have a [COI] ID number to enter. Please leave it blank. MTA’s database will assign a COI Number beginning with “C” and all new members will be assigned a member number beginning with “M”.
Please keep a record of ID numbers and enter the assigned ID numbers in future registrations. The database system will auto-populate the previously entered information.
Information for existing COIs cannot be changed using this form. Please contact MTA.
PRE-EXISTING MEDICAL CONDITION means an illness, disease, or other condition which member received a recommendation for a test, exam, or medical condition 60 days prior to trip. No coverage for such condition
MTA PROVIDES NO ENROLLMENT OPTIONS FOR:
Afghanistan, Belarus, Burkina Faso, Central South Republic, Chad, Gaza/West Bank, Haiti, Iran, Iraq, Israel, Lebanon, Libia, Mali, Myanmar, Niger, Nigeria, North Korea, Russia, Somalia, South Sudan, Sudan, Syria, Ukraine, Venezuela, Yeman.
MTA Invoices are to be paid by Credit Card only.
ID cards will be sent when payment is received.
INSTRUCTIONS: All MEMBERS TRAVELING MUST BE ENTERED BELOW
1. If you do not have a member number beginning with an “M” please leave the ID # blank
2. When inserting a member number and the member name and date of birth showing is not yours, please delete the wrong member number, enter your information and continue with the registration process
3. Previous registered members personal information is blocked from being seen for security purposes
4. Information for existing users cannot be updated using this form. Please contact MTA.
5. OPTIONAL Cancellation and Interruption coverage benefit can be added for $4.00 [four] per travel day.
Example: a 3-day mission trip will be an $12 additional cost; a 9-day mission will be an $36 additional cost.
6. USA DOMESTIC MISSION TRIPS includes all benefits except a member's personal medical insurance and any other insurance is primary.
7. ALL MEMBERS REGISTERED MUST BE A U.S.A. RESIDENT.
8. MTA benefits are not available for any trip participant who turns 81 or higher on the day of trip departure.