MNIBA Business Application Form

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  1. All Fields marked with (*) are required.

  2. Tribal Affiliation(*)
    Required Field. Please list your affiliated tribe.
  3. Company Name(*)
    Company name required.
  4. Main Contact(*)
    Main contact required.
  5. Title(*)
    Title required.
  6. Street Address(*)
    Street address required.
  7. City(*)
    City name required.
  8. State(*)
    State name required.
  9. Zip Code(*)
    Zip Code required.
  10. Phone Number
    Invalid Input
  11. Cell Number
    Invalid Input
  12. Fax Number
    Invalid Input
  13. Email Address(*)
    Please type in a valid email address.
  14. Web Address
    Invalid Input
  15.  

    MNIBA is making the opportunity to maximize exposure of business social networks with your business listing. You may show your Twitter, Business Facebook, Linkedin, YouTube account and your business blog address with your business listing.

  16. Twitter Address
    Invalid Input
  17. Facebook Business Address
    Invalid Input
  18. Linkedin Address
    Invalid Input
  19. Youtube Address
    Invalid Input
  20. Google+ Address
    Invalid Input
  21. Business Blog Address
    Invalid Input
  22.  
  1. ONLINE BUSINESS DIRECTORY QUESTIONAIRE

    Please check any or all Business Certification type(s) currently held.

  2. Business Certifications

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  3. Business Certifications

    Invalid Input
  4. Business Certifications

    Invalid Input
  5. Other(*)
    You must provide a value or uncheck "Other" to continue.
  6.  

    (Please describe the services/products your business/organization offers in one-hundred words or less)

  7. Services/Products:(*)
    Description of services and products offered is required.
  8. Professional Licenses Currently Held:
    Invalid Input
  9.  
  1. Please list an Industry Heading that best describes your business.

  2. Industry Heading:
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  3. Please check the category of industry quick-links that apply to your business/organization.

  4. Industry Quick-Links

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  5. Industry Quick-Links

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  6. Industry Quick-Links

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  7. Other(*)
    You must provide a value or uncheck "Other" to continue.
  8.  
  1. A photo copy of one of the following forms of ID is required to be listed in MNIBA’s Business Directory:

    • Tribal ID Card
    • Minnesota Chippewa Tribe Descendant ID
    • Certificate of Degree of Indian or Alaskan Native Blood (CDIB)
  2. And Mail To:

    Attn: Pamela Standing
    MNIBA
    P.O. Box 1902
    Detroit Lakes, MN 56502


    Additional Contact Info:
    Phone: (218) 847-9554
    Email: This email address is being protected from spambots. You need JavaScript enabled to view it.



    Disclaimer:
    MNIBA reserves the right to review applications, request additional information before listing and refuse applications if they cannot be verified.

  3. Prove your a human
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