Membership Application

Minnesota LICA

Membership Application

Please print out this page, fill in the information and send to:

MNLICA, 9600 South Dennison Blvd., Northfield, MN 55057

-Questions??? Please call: Phone: 507-789-5725

Or Cell# 507-649-1771 for more information.

*Fax 507-789-6033

Please enroll me as a Member of the Minnesota Land Improvement Contractors Association. I understand that I will receive all member benefits, and that they will begin as soon as my application is approved and my dues are received in the State Office. My membership fee includes membership in the National Land Improvement Contractors of America.

NAME: ______________________________________________________

COMPANY: __________________________________________________

ADDRESS: __________________________________________________

CITY, STATE, ZIP: ____________________________________________

SPOUSE NAME: ______________________________________________

BUSINESS PHONE: ___________________________________________

FAX: ________________________________________________________

E-MAIL: _____________________________________________________

Areas of Expertise – Circle those categories to search by, for your company, online:

Erosion Control – Earth Moving – Sewer and Water – Tiling – Concrete Structures – Site Removal – Clearing and Grubbing Excavation – Materials – Surfacing – Paving Asphalt or Concrete – Haul with Dump Trucks – Irrigation – Underground Storage Tanks – On Site Waste Treatment – Landscaping – Open Ditch Work – Septic Systems – Bridges and Culverts – Water Wells – Sewage treatment – Terraces – Land Leveling – Forest Management – Water Management – Directional Boring – Cable Installation – Road Crossings – Horizontal Earth Drilling – Rock Production – Trench Plow Cable – Demolition – Seeding

Please enclose a check payable in the appropriate amount as indicated below and mail with this form to:

MnLICA – c/o Jeanie Bakken

9600 South Dennison Blvd.

Northfield, MN 55057-4547

CONTRACTOR MEMBER $350.00

Note: Ten dollars of the membership fee is for the subscription to the MnLICA Newsletter and one hundred twenty five dollars is paid to LICA as National dues and also includes a $5,000.00 term life policy on contractors under 65 years old.

Dues to the Minnesota Land Improvement Contractors of America is not deductible as a charitable contribution, but may be deducted as an ordinary and necessary business expense. Due to the “Omnibus Budget Reconciliation Act of 1993”, a portion of dues attributable to MnLICA’s lobbying expenses are not deductible as a business expense. Ten percent of the dues amount shall be allocated to lobbying expense.

Money Back Guarantee for New Members

Minnesota LICA promises to any new member a 100% money back guarantee on their membership if they are not satisfied after the first year.

All they have to do is agree to attend at least one State or National LICA Convention or Summer Meeting.

All requests for refunds must be sent in writing to the State Executive Director by February 28th following the end of the membership year.

This offer is available only to any first time contractor member.