Join The Minnesota Entrepreneurs!

The Minnesota Entrepreneurs - Membership For 2003-2004
Renewal_______New ______Additional ______

____Yes, I'd like to join. My check for $120.00 is enclosed. (No fees
at the door for members.)

____ Unlinimited additional members from same company only $60.00 each
Name ____________________ Name________________________

Name:_________________________ Title: _________________

Company: ________________________________________

Address: ________________________________

City: __________________________ State: _____ Zip:________

Phone: ________________________

FAX:____________________

e-mail: ______________________________________

Make $120.00 check payable to: Minnesota Entrepreneurs, Inc.
($50 for students) - ($60 for additional members in same company.)

Mail to: Minnesota Entrepreneurs, c/o Kathy Gatliff, Executive Director
3930 Thames Avenue, Eagan, MN 55123

Questions: Kathy at 651-687-0272

Email: info@mn-entrepreneurs.org