Associate Application

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Associate Member Application

Thank you for visiting MULBA.org, the official web site of the Maryland Unified Beverage Licensees Association, Inc. (MULBA). This form serves as an application for membership in the association. Simply complete the form and click the submit button at the bottom of the page to send your application electronically. If preferred, you may also print, complete and fax or mail this form to:

Maryland Unified Licensees Beverage Association, Inc.

8908 Liberty Road, Randallstown, MD 21133
Phone: (410) 521-7001 *** Fax: (410) 521-9742
Email: info@Mulba.org

Upon receipt of your application, one of our membership volunteers will be in touch with you.

Type	Dues
Associate Member	$60.00/Year
Trading as: (very important)
Your Name:
Your Title:
Street Address:
City:
State/Zip:	/
County:
Business Phone:
Fax:
E-Mail:
URL:
Mailing Address: (if different from above)
City:
State/Zip:
Please describe your products/services
Please contact me regarding obtaining a business web page on MULBA.org.