Member - Join the Minnesota Retailers Association

Business Information

Company Name: *

Phone: *

Website:

Email: *

Business Description (200 char max):

Directory Category: *

Employees:

Full-time Part-time

Comments / Questions:

MN State Gross Annual Sales:

Number of Stores:

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

State:

Postal Code:

Country:

Primary Contact Information

First Name: *

Last Name: *

Phone: *

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Billing Contact Information

Same as Primary Contact

First Name:

Last Name:

Phone:

Email:

Contact Preference:

Email Phone

Login:

Password:

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Membership Package: *

Retail Membership: See fee schedule to determine the fee and enter it below.
This is for those who own/run a retail store(s) in MN. Associate Membership: See fee schedule to determine the fee and enter it below.
For those non-traditional members (businesses that support retailers) If using fee schedule, enter fee here:

Payment Option:

Bill me Charge my credit or debit card

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What is the sum of 4 plus 8?: *

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Join the Minnesota Retailers Association

Member Application

Mailing Address

Address

Address

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