Minnesota School Nutrition Association

Industry Membership Application
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If paying by check, print application, complete questions and mail to MSNA (see below).
If paying by credit card (Master Card, Visa or Discover) click here:

I. Membership Categories:

_______ New Member _______Renewal _______________Membership Number

Please Check One: (Benefits of each type are listed on “Membership Benefits” sheet)

Silver Membership Partner _______ 1 year ……………………… $250
Gold Membership Partner  _______ 1 year ……………………… $475

II. Website Space Options: (See website page for details)

Industry MarketPlace section – additional logo tiles: $100 each…………$_________
Homepage Space Options:
Banner: $100.00 / month or $1000 per year (see specs)….............$_________
Side margin Tile: $25.00 – $75.00 / month (see specs)……...…..........…$_________

Note: Please email your information (logo, banner, etc.) to msna@citescape.com

III. Membership Contacts:
Primary Contact:
Name: ____________________________________________________________
Company: _________________________________________________________
Address: __________________________________________________________
City: ____________________________ State: __________ Zip: _____________
Phone: ( ___ )______________________ Fax# ( ___ ) _____________________
E-Mail: ____________________________________________________________

Secondary Contact: (For Gold Membership Category Only)
Name: ____________________________________________________________
Company: _________________________________________________________
Address: __________________________________________________________
City: ____________________________ State: __________ Zip: _____________
Phone: ( ___ )______________________ Fax# ( ___ ) _____________________
E-Mail: ___________________________________________________________

IV. Company Description:
_____Broker _____Distributor/Dealer _____Manufacturer’s Representative
_____Manufacturer _____Consultant/Architect _____Computer Hardware/Software


Signature _____________________________________Date: ________________
Please send your payment (checks made payable to MSNA) with your completed application to:   
MSNA, 21997 Co. Rd 141, Kimball, MN 55353

Industry Membership Benefits - click here

MSNA Website Communication - Specs - click here

 
Minnesota School Nutrition Association
21997 County Rd 141
Kimball, MN 55353
Phone: 320-251-2344 | Fax: 320-251-2343
Toll free: 877-251-2344
Email: msna@citescape.com
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