MLCDC Membership Application

 
Business/Organization Name *
Address *
Address 2
City *
State *
Zip Code * 00000
Website www.yourwebsite.com
Type of Membership *
Business Category *
Business Sector *
Contact Person First Name *
Contact Person Last Name *
Business Phone *
000-000-000
Business Fax
000-000-000
contact E-mail *
Application Date *
yyyy-mm-dd

Please type the letters shown in the box

 

Membership Levels

Level I: Honorary

Students:$25.00
Individuals:$40.00

Level II: Non-profits

Non-profits: $100.00

Level III:Businesses:

Micro Businesses: One to five employees- $100.00

Established Businesses: More of six Employees- $200.00

Mailing Address:
4923 South 24th Street,
Suite 201
Omaha, NE 68107

Phone: 402-933-4466