Buyer'S Guide Form (Page 2 of 2) in pdf

5353 Wayzata Blvd, Suite 350 // Minneapolis, MN 55416

office

952.564.3041 //

fax

952.252.8096

2016

BUYER’S GUIDE

PROFILE

To Drive Success In Minnesota Precision Manufacturing

updated 11-09-15

CERTIFICATION / ACCREDITATION / COMPLIANCE

For an additional fee of

$99, you may list any certifications, accreditations, or compliance standards you want to showcase in your

directory listing.

Limited to 80 characters. Please add a space after each new item, this will not count toward your 80 characters.

O 1

0 3

1 0

Example:

PAYMENT INFORMATION

> Number of additional category listings, if applicable (three free): _________ x $99 = $ _______________

> Certification fees, if applicable ($99 per 80 characters): ______x $99 = $__________________

TOTAL AMOUNT DUE: $ ________________________________

Check (payable to MPMA)

Credit Card:

Visa

MasterCard

American Express



Card #: ___________________________________________________________________________________ Exp. Date: ______________________ Security Code: ____________________________

Print Name: ________________________________________________________________ Signature: ___________________________________________________________________________________

MAIL COMPLETE APPLICATION AND PAYMENT TO:

MPMA

FAX TO:

952.252.8096

5353 Wayzata Blvd., Suite 350

EMAIL TO:

Minneapolis, MN 55416

ADDITIONAL COMPANY CONTACTS

(optional)

Please provide any additional contacts at your company that you would like to add to the MPMA mailing list.

Name: _________________________________________________________________________ Email: __________________________________________________________________________________

Buyer'S Guide Form Page 2

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