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Join MDLA

Thank you for your interest in becoming an MDLA Member
.  You may choose from the following membership category options:

ACTIVE - Active membership consists of corporations, partnerships, and individuals operating dental laboratories in the states of Minnesota, Iowa, Nebraska, North Dakota, South Dakota or Wisconsin, as well as dental laboratories operated within these states that are branches of other out-of-state laboratories. When both the home and branch offices of dental laboratories are located within one of these states, then only the home office will be accepted as an active member.
-- Owner-Operators – those labs with the owner being the sole technician on the payroll.   $125.00
-- Laboratories – any lab with two or more technicians on the payroll. $175.00
AFFILIATE - Affiliate membership shall consist of dental laboratories of University dental schools, noncommercial dental laboratories, schools of dental technology, manufacturers, suppliers, and retailers. The cost of this membership is $125 per year.
INDIVIDUAL TECHNICIANS OR INDIVIDUAL CERTIFIED DENTAL TECHNICIANS (C.D.T.) - Individual membership consists of Individual Technicians or CDTs who have no proprietary financial interest in a commercial dental laboratory. Individual members may not be listed at a lab address or phone. The cost of this membership is $50 per year.

Click here if you wish to download a 2012 Membership Application

Please complete the form below.
Main Contact Name   (required)
Main Contact Title   (required)
Main Contact CDT?  
Proprietary Financial Interest in Lab?  Yes
No
 (required)
Company Name   (required)
Address   (required)
City   (required)
State   (required)
Zip   (required)
Phone   (required)
Fax  
Email  
Website  
Prefer to have MDLA Publications Emailed  Yes
No
 (required)
Is Lab a Certified Dental Laboratory (CDL)?  Yes
No
 (required)
Lab Specialties  Ceramics
Crown/Bridge
Dentures
Implants
Orthodontics
Partial Dentures
Committee Interest  Communications
Education
Legislative
Membership
Program
Second Contact Name/Title  
Second Contact Phone  
Second Contact Email  
Dues Payment  Mailing Check
VISA or MasterCard
 (required)




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