MEMBERSHIP APPLICATION MN-DONA/LTC
Active membership fee is $110 for 1 year or $190 for 2 years. Your membership year begins from the date we receive your registration and is renewable on that anniversary date through MN-DONA. Mail this form along with your check or money order, payable to MN-DONA/LTC, to:
2626 E. 82nd St., Suite 270
Bloomington, MN 55425
If you have any questions, please call 800.958.8875 or 952.858.8875, or email the MN-DONA office at firstname.lastname@example.org. MN-DONA.