Meeting Sign-Up

Please fill out the information requested below and press submit. Mail your check, if necessary, to:

MC&MCA
1711 West County Road B
Suite 207 S
Roseville, MN 55113
651-293-0892

Or fax to 651-293-0373

*NOTE: For monthly meetings/events, please enclose proper amount per each individual attending the meeting/event as listed on the previous page.

Number of People:
Meeting or Event:
Amount Being Mailed: $
Company:
Name 1:
Name 2:
Name 3:
Name 4:
Name 5:
Name 6:
Additional Names:
(if necessary)