Corporate Membership Application

I. Member Profile (Select one of the three categories)

II. Membership

Annual Membership Dues

Note: Corporate membership entitles one board member serving on the MPULA board.

Thank you for your membership with Minority PUL Alliance. We look forward to a long lasting relationship!

Please send application with payment to:

The Minority PUL Alliance

P.O. Box 7233, Tupelo, MS 38802-7233

Pay with cerdit card in next page
Contact Information:


Phone: 662-322-9797