MEMBERSHIP
FORM
BUSINESS NAME________________________________
CONTACT______________________________________
ADDRESS_______________________________________
CITY, STATE,
ZIP________________________________
PHONE_________________________________________
EMAIL
ADDRESS__________________________________
2012 DUES MEMBERSHIP $75.00
TOTAL INCLUDED $_____________
Print Registration form.
Check can be made out to: M.C.A.A.
Mailed
to:
New Richland, MN 56072
507-239-2376
sonnekcustominj@myclearwave.net
Should you have any questions, contact any other board member.