Become a Member - MAGIC

Thank you for your continued commitment to MAGIC! Please fill out the application below to update your information. After hitting submit, you will be prompted to pay via PayPal. If you prefer to pay by check, please submit your payment to:

MAGIC Office
P.O. Box 24475
Minneapolis, Minnesota 55424:

Current Facility Membership Application

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Primary Member Name *

First

Last

Second Member Name *

Primary Member Credentials *

Second Member Credentials *

Business Address *

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City

State

Zip Code

Country

Cell Phone *

Office Phone *

Email *

Preferred Email *

Facility Address *

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State

Zip Code

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Administrator's Name *

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Last

Phone Number *

Submit