MLBA Beverage Journal Subscription Form

 

Home

 
Beverage Journal Subscription Form

Complete the form below to submit your subscription request:

YES! Please begin my subscription to the Beverage Journal for the period indicated below.
1 year ($52)    2 Year ($96)

Name:
Business:
Address:
City:
State:  Zip:
Phone:
Please provide the following information:

1. What type of license do you have?
SDM Importers
SDD/SDM Wholesaler
Club Outstate Seller
Class C Sales
Manufacturer
Other:

2. MLCC License ##:

Your credit card information will be transmitted by a    secure server connection.
 
Type of Card:
Name on Card:
Card Number:
Expiration Date: /
Amount:

 

 

 

© 2005 by Michigan Licensed Beverage Association
920 North Fairview -- Lansing, MI 48912
Mailing Address: P.O. Box 4067 -- East Lansing, MI 48823-4067

Phone: 800-292-2896 or 517-374-9611 - Fax: 517-374-1165

e-mail: info@mlba.org