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- $10

$

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- $110 (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 $220 per year Additional Membership $110 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

Pay With Check

Select your membership and fill out the form below:

Please mail your payment to: