Associate Member Application Form Form

Associate Member

Application Form

Thank you for your interest in joining the Minnesota Bankers Association.

This application will be reviewed for approval by the MBA Board of Directors at the next scheduled Board meeting. Applicants will be notified of the Board decision in writing following the meeting.

To provide the highest quality products and services to our valued member banks, you will be required to supply references of three Minnesota banks that have used your product or service as part of this application process. If you are unable to provide references at this time, please contact the MBA at (952) 835-3900.

NOTE: Approval of Associate Membership does not imply endorsement of your product and/or services by the MBA.

Please provide us with the following information.

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Contact Info

Submission No

001188

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Billing Address

Is billing address different from above?

Yes
No

Street Address

Street Address Line 2:

City

State

Zip Code

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Contact Information

Principal Contact:

Title:

Telephone:

Fax:

Email address:

Website:

Please list three Minnesota Bank references

Note: You must add at least 3 Please list three Minnesota Bank references

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Additional Information

Please provide a detailed but brief company description including products and/or services(s). This will be displayed in the MBA Online Directory and posted on the MBA website.

The MBA often relies on Associate Members to speak at educational programs or events. Please list all areas of expertise, or specific topics, that you would like to be considered for:

Number of Minnesota bank clients:

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Associate Member

Application Form

Contact Info

Company Information

Billing Address

Contact Information

Please list three Minnesota Bank references

Additional Information