Sustaining Membership Application

To become a Sustaining Member, please fill out the form below and submit. Or if you prefer, you may download the application, fill it out and mail it in.

Application for Sustaining Membership 2022-23

"*" indicates required fields

Member Name*

First Last

Company Name

Industry Category

(i.e. field, beverage, equipment, software, etc.)

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone

Fax

Email*

All information must be completed in order to process your application.

Membership dues are for August 1, 2022, to July 31, 2023, and are $250.00 per member. Companies may have more than one member, but $250.00 is a per-member fee. Dues must accompany completed form.

Each individual member will receive a discount of $100.00 from the cost of one booth space when their company exhibits at annual conference. Additional booths will be at the conference price. Also, member status may be used in advertising or exhibiting and will be noted in the Conference Program.

We thank you for your commitment to the School Nutrition Programs in Mississippi. Your support of our organization is appreciated!

For further information contact Armer Moore, MSNA Executive Secretary: Phone: 601-260-8907 Email: msnaorg@gmail.com

Sustaining Membership Dues

Price: $250.00

Total

Phone

This field is for validation purposes and should be left unchanged.