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MMBA | Keg Registration Tag Order Form

Available only to MMBA / MLBA Members
(Please submit separate forms for multiple store locations,
or print this form and mail it to the address below)

$50 (plus Tax) for packets of 250 labels
Please submit a check following order to:

  Minnesota Municipal Beverage Association
P.O. Box 32966
Minneapolis MN 55432

 

Facility Name:

Address:

City, State, Zip:

Facility Phone:

E-mail:


Quantity:

 @ $50 = $

 Add 6.5% Sales Tax: $

 Total: $