Group Membership Application

When people from the same workplace join MNSHA, membership dues are offered at a discounted rate.
Discount Options *
Please check which one applies:5-10 Members ($5 discount per member)11+ Members ($10 discount per member

Organization/Employer Name: *
Contact Name: *
Company Address:
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Contact Phone: *
Contact Email: *

Printable Member Application (one per member) http://mnsha.org/pdfs/membership-application.pdf
Upload Completed Member Applications for Each Member Accepted formats: pdf, png, jpeg, gif