Member - MZ Membership Application

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Website

Email *

Please add a valid email.

Physical Address

Address line 1

Address line 2

City

State

ZIP Code

Country

Mailing Address

Same as physical address

Address line 1 *

Please add your address.

Address line 2

City *

Please add your City.

State *

Please add your MN.

ZIP Code *

Please add your ZIP Code.

Country *

Please add your country.

Step 2:

Additional Info

Business Description (200 char max)

Business Keywords (enter a space between words)

Directory Category

Full-time Employees *

Please add your number of full-time employees.

Part-time Employees *

Please add your number of part-time employees.

County *

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Reason for Joining? *

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Sponsor

Formerly Known As

Doing Business As (dba)

Also Known As (aka)

Building Contractor Lic. Num

Licensee Name

In Business Since

Public Contact

Number of Homes Built In One Year

Company Motto

Type of Homes Built

Home Price Range

Townhome Price Range

Subdivisions Where Building

Specialties

*** License & Builders Profile Information ***

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title *

Please add your title.

Phone

Cell Phone

Fax

Email *

Please add a valid email.

Contact Preference

Phone

Address

Same as Address in Step 1

Address line 1

Address line 2

City

State

ZIP Code

Country

Step 4:

Billing Contact

Same as Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title *

Please add your title.

Phone

Cell Phone

Fax

Email *

Please add a valid email.

Contact Preference

Phone

Address

Address line 1

Address line 2

City

State

ZIP Code

Country

Back Next Submit Application Print Application

Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Step 2:

Additional Info

Step 3:

Primary Contact

Address

Step 4:

Billing Contact

Address

Step 5:

Membership Package

Additional Options:

Payment Option

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