MSDA Member Perks Endorsed Partner              Request Form
If your company would like to be considered to become a MSDA Member Perks Endorsed Partner, please fill out this form.
First and Last Name *
Company Name *
Phone number *
Company Website *
Please describe your products or services. *
Why do you want to be an MSDA Member Perks Endorsed Partner? *
What types of benefits/discounts can you offer to MSDA Members? Benefit should equate to discounts that compare to annual membership dues. (average dues payment is $1,500) *
What type of Quarterly/Annual Affinity Partnership fee can your organization offer in exchange for endorsement? *
List other state endorsements and a point of contact, if applicable *
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