Select your membership and fill out the form below:

Student Check Payment Form

Name

First Name

Last Name

University

Major

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Email

Total Due

Student Membership- $20

$

Associate Check Payment Form

Company/School

Member Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Email

Total Due

Associate Membership- $150 (Meal Included)

$

Full Membership Check Payment Form

Membership Status

First Time Member

Renewing Membership

Dropdown

Members

Please provide the names, titles, and email of all additional members.

Total Due

Full Membership $300 per year Additional Membership $150 per person

$

Company/School

Name

First Name

Last Name

Title

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Fax

Email

Please mail your payment to:

Minn-Dak Manufacturers Association

P.O. Box 2204

Fargo, North Dakota 58108

Service Provider Membership Check Payment Form

Membership Status

First Time Member

Renewing Membership

Dropdown

Members

Please provide the names, titles, and email of all additional members.

Total Due

Full Membership $400 per year Additional Membership $200 per person

$

Company/School

Name

First Name

Last Name

Title

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Fax

Email

Pay With Check

Select your membership and fill out the form below:

Please mail your payment to: