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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.
Yearly
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
City
State
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 company and how it relates to end of life work (for internal use only)
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Upload Your Company Logo
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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
Directory Agreement
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"By clicking the box below, I am indicating that I understand and accept the following terms: 1) Inclusion of my information on the website directory does not constitute endorsement by MNDC 2) I am fully responsible for my own contracts, promotion, and interaction with the public. 3) I have read and agree to honor the MNDC Code of Ethics, Conduct, and Scope of Practice. 4) I understand that my listing on the website directory will only be included as long as I am an active member of MNDC (renew each year)."
I agree
Add 3% to my total amount to help cover the payment processing fees
