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Minnesota Association of Small Cities <br /> 2018 - 2019 Membership Form <br /> Please fill out the following information according to your cities population. Send <br /> this form along with a check for your membership to: <br /> MAOSC <br /> 145 University Ave W <br /> Saint Paul, MN 55103 <br /> Dues Structure for the City of: City of Centerville <br /> Population Base Dollar Amount <br /> 0 - 1,000 $120.00 <br /> 1,001 - 2,000 $150.00 <br /> 1 —5,000 $200.00 <br /> 2018— 201119 Membership Dues Invoice <br /> Membership Base ........ ....................... $ 200.00 <br /> City Population 3953 multiplied by 0.45 per capita $ 177835 <br /> TotalDues ..............-.................................................. $ 1978.85 <br /> Contact Information <br /> City Mayor and email address <br /> City Clstrator email address and phone number........................................... <br /> Please contact Jackie Sure if you need further information or have questions <br /> regarding your membership. mjsura@comcast-net <br /> Thank you for your membership to MAOSC. We appreciate your support for our <br /> smaI l cities in Minnesota. You will receive a card from MAOSC, acknowledging <br /> your membership. <br /> Jill Sletten, MAOSC Executive Director <br /> www.maosc-org <br /> 43 <br />