Member Application

By submitting this application I agree to to abide by the MNRSA Code of Ethics.

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Email *

Please add a valid email.

Step 2:

Additional Info

Full-time Employees *

Please add your number of full-time employees.

Part-time Employees *

Please add your number of part-time employees.

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Phone *

Please add your phone number.

Email *

Please add a valid email.

Contact Preference

Phone

Create Account

Password *

Please add your login password.

Step 4:

Membership Package

Please select a Membership Package

1 - 5 Employees $ 500

6 - 10 Employees $ 725

11 - 25 Employees $ 1,200

26 - 50 Employees $ 1,800

51+ Employees $ 2,950

Comments/Questions

Payment Option

Charge my credit or debit card

Please complete the Captcha

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