Institutional Membership

MCPA Institutional Memberships

To purchase an annual MCPA Institutional Membership, please fill out the form below and click submit. You will then be brought to the next page where you will be able to purchase the Institutional Membership.

* Indicates required field

First Name *

Last Name *

Email Address *

Institution *

Your Job Title *

Office/Department *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Institutional Membership Type *

Phone Number *

Primary Contact Information:

This person will be contacted when the annual Institutional Membership needs to be renewed

Will you be the primary contact? *

Yes No

If no, please enter the primary contacts information below:

First Name *

Last Name *

Email Address *

Department/Office *

Job Title *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Billing Information:

Payment Method *

Credit Card Check

Name of Purchaser *

Referral Source:

How did you hear about MCPA? *

If you selected "Other" please elaborate. If you selected "Personal Referral", please list the person's name *

Submit

If Paying By Check: once you hit submit, you are finished. You will NOT receive an email confirmation (this is only sent if paying by credit card). If you need an invoice or email confirmation, please contact mcpa4you@gmail.com.

Mail check to:

Attn: Domingo A. Coto
1122 University Avenue SE
Minneapolis, MN 55455

Checks should be made out to Minnesota College Professionals Association. Please also include the name of who you are paying for on the check (if there are multiple people, please list on a separate piece of paper and include with the check).

Refund Policy
MCPA annual memberships may not be refunded.