MNDC · Non-Profit Organization Membership

Annual Membership Fee

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$180

Your credit card will be renewed automatically on your sign-up date to ensure your membership for the next year.

Contact Information

Corporation Name

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Contact Name

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First Name

Last Name

Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Email

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Verify Email

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Website beginning with http://www.

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Phone Number

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Plese tell us about your organization and how it relates to end of life work (for internal use only)

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May we announce your organization's membership in MNDC communications?

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Yes, you may share the news of my organization's membership in MNDC communications.

No, do not share the news of my organization's membership in MNDC communications.

Directory and Non-Solicitation

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A benefit of your membership is the option to be included in the MNDC website directory. Directory entries company/organization name, contact name, up to 3 titles, up to 5 services, email, phone, website (if any), location served, and logo. In the next section, we invite you to indicate if you wish to be in the directory. Included in the directory or not, members abide by the Collaborative's policy of non-solicitation of fellow members: Members will not solicit fellow members nor share member information with non-members for the purpose of solicitation.

Non-Solicitation Agreement

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Members will not solicit fellow members nor share member information with non-members for the purpose of solicitation.

I agree. I will not solicit fellow members nor share member information with non-members for the purpose of solicitation.

Website Directory

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Yes, I want to be included in the website Directory

No, I do not want to be included in the website Directory

Upload Your Company Logo

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