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MMSA events.
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Registering Company:
*
Company Contact Name:
*
First
Last
Company Contact Email:
*
Company Phone:
*
Company Address
*
Address Line 1
Address Line 2
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Is your company a member of MMSA? Verify at minnesotaminesafety.org/membership/
*
Yes
No
Would you like your company to become a member? ($150)
*
Yes
No
Registration and/or Sponsorship
Would your company like to sponsor this event?
*
Yes
No
Choose your Sponsorship level below:
*
Industry Partner -
$1,000.00
Hospitality -
$750.00
Event Supporter -
$500.00
Industry Partner Sponsorship: Includes a vendor table at both locations, and your logo featured on all communications. || Hospitality Sponsor: Includes one seat at your preferred location and your logo on all communications. || Event Supporter: Includes your logo on all communications.
Upload your company's logo here:
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Indicate which seminar you will be attending:
*
Tuesday February 3rd, South Central College in Faribault
Wednesday February 4th, Rice Creek Hunting Preserve in Little Falls
I am an Industry Partner and attending both seminars
I am an Event Sponsor only, not attending
How many attendees will you be registering?
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0
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Select "1" if you are only registering yourself
Attendee #1 Name:
*
First
Last
Enter "TBD" if unknown at this time.
Attendee #1 Email:
How many additional attendees are you registering?
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0
1
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Attendee #2 Name:
*
First
Last
Enter "TBD" if unknown at this time.
Attendee #2 Email:
How many additional attendees are you registering?
*
0
1
2
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Attendee #3 Name:
*
First
Last
Enter "TBD" if unknown at this time.
Attendee #3 Email:
Attendee #4 Name:
*
First
Last
Enter "TBD" if unknown at this time.
Attendee #4 Email:
Attendee #5 Name:
*
First
Last
Enter "TBD" if unknown at this time.
Attendee #5 Email:
Attendee #6 Name:
*
First
Last
Enter "TBD" if unknown at this time.
Attendee #6 Email:
Attendee #7 Name:
*
First
Last
Enter "TBD" if unknown at this time.
Attendee #7 Email:
Attendee #8 Name:
*
First
Last
Enter "TBD" if unknown at this time.
Attendee #8 Email:
Attendee #9 Name:
*
First
Last
Enter "TBD" if unknown at this time.
Attendee #9 Email:
Attendee #10 Name:
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Last
Enter "TBD" if unknown at this time.
Attendee #10 Email:
Attendee #11 Name:
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Last
Enter "TBD" if unknown at this time.
Attendee #11 Email
Attendee #12 Name:
*
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Last
Enter "TBD" if unknown at this time.
Attendee #12 Email
Attendee #13 Name:
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Last
Enter "TBD" if unknown at this time.
Attendee #13 Email
Attendee #14 Name:
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Last
Enter "TBD" if unknown at this time.
Attendee #14 Email
Attendee #15 Name:
*
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Last
Enter "TBD" if unknown at this time.
Attendee #15 Email
Attendee #16 Name:
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Enter "TBD" if unknown at this time.
Attendee #16 Email
Attendee #17 Name:
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Enter "TBD" if unknown at this time.
Attendee #17 Email
Attendee #18 Name:
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Last
Enter "TBD" if unknown at this time.
Attendee #18 Email
Attendee #19 Name:
*
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Last
Enter "TBD" if unknown at this time.
Attendee #19 Email
Attendee #20 Name:
*
First
Last
Enter "TBD" if unknown at this time.
Attendee #20 Email
Total Attendee Cost
*
Price:
$0.00
Total amount due:
*
$0.00
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