Join MSLBA

Membership is for licensed retail alcohol beverage establishments and is subject to approval.

Business Information

Business Name *

Jurisdiction *

Business Phone *

Business Address

Street Address *

City *

State *

ZIP Code *

Mailing Address

Street Address *

City *

State *

ZIP Code *

Contact Information

Contact Name *

Contact Title *

Contact Cell, for text and calls *

Contact Email *

Annual Membership Dues

Your annual dues are determined by the selected jurisdiction.

Optional PAC Contribution

Suggested amount: $100. You may enter $0 if you prefer not to contribute.

PAC Contribution

PAC & $200 of your annual dues may be attributed to lobbying expenses and therefore are not deductible as a business expense.

Payment Information

Card Number *

Exp. Month *

Exp. Year *

CVV *

I confirm that I am authorized to submit this membership application and payment on behalf of the business listed above. I understand that MSLBA membership is subject to approval.