State Convention Registration – UPMA Minnesota Chapter

First Name *

Last Name *

Preferred Name (will be printed on your badge) *

Post Office You Represent (City, State) *

Your Mailing Address *

City *

State *

Zip Code *

Phone Number *

Email *

Title *

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Are you a First Timer? *

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If you are a First Timer, what is your shirt size?

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Name of Committee you would be willing to volunteer for? *

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2025 Minnesota State Convention Registration