Minnesota Chapter of Associated
Locksmiths
of America
Date: December
01, 2011
Due: January
31st, 2012
Please list name, phone
number and select membership choice in the boxes below. Please make check out to MNALOA
and mail to:
C/O Sandy Moseng
413 18th Street East
Hastings, MN 55033
_____________________________________________________________
2012 Memberships - Check appropriate box:
Associate - $125* Regular - $75 Apprentice -
$25**
Name Phone Associate Regular Apprentice
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Total Amount Enclosed__________________________
Please give us the following information, this helps us get the newsletter to you!
Company__________________________________________________
Address___________________________________________________
Phone___________________Email_____________________________
_____Check here if this information needs to be updated
*Associate membership (vendor) is allowed 3 members, any additional is $15 each.
**Apprentice Memberships are only eligible for 2 years.