COLA/LARA Membership Form

Name of your organization (please no abbreviations)

What email address should receive MN COLA mailings?

Primary county your organization is in?

Zip Code for your organization

Does your organization cross into another county?

Yes

Please list the county

Website URL (if you have one)

Facebook page URL (if you have one)

Instagram URL (if you have one)

Who should MN COLA list as your organization's primary contact? (typically your President)

First Name

Last Name

Who should MN COLA contact for dues, etc. (typically your Treasurer)?

First Name

Last Name

Email address for financial matters

Phone/Mobile number for financial contact

Are you a new member or renewing?

Join (New Member)

Renew (Existing Member)

What type of membership?

Annual Membership - $150

No payment items has been selected yet

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