MDAA Membership Form

(Please fill out as completely as possible)

Name_____________________________________________Date_________________

Address________________________________________________________________

City___________________________________State________Zip_________________

Phone(_________)_______________________________________________________

(Please Check one and mail application to specific chapter)

Brainerd
225 1st Street

Randal, MN 56475

East Ottertail
(Perham Area)
36195 528th Ave       New York Mills, MN 56567

Heartland
(Melrose/Sauk Centre Area)
P.O. Box 296
Melrose, MN 56352

Iron Range
(Hibbing Area)
6016 McNiven Road
Chisolm, MN 55719

Lakes
(Detroit Lakes Area)
P. O. Box 1021
Detroit Lakes, MN 56502-1021

West Central   20451 Hwy 9 N.E.

New London, MN 56273

Metro
(Mpls./St. Paul Area)
P.O. Box 1875
Burnsville, MN 55337

Central
 

313 Jasmine Lane E.

St. Joseph, MN  56374

 

Mid-State
(Alexandria Area)
605 Carlos Timber Dr
Alexandria, MN 56308

 

Morrison County
(Little Falls Area)

15867 93rd St.

Little Falls, MN 56345
 

Paul Bunyan
(Cass Lake/Bemidji Area)
PO BOX 2033
Bemidji,  MN 56619

 

Park Rapids
(Park Rapids Area)
17964 119th Ave
Park Rapids, MN 56470

Southern Lakes
(Waseca/Waterville Area)
11261 245th St. W. Morristown MN 55052

Northern Lakes
(Grand Rapids Area)

P.O. Box 612

Deer River, MN 56636

West Ottertail
(Fergus Falls Area)
816 S Union Ave
Fergus Falls, MN 56537

1 Year - $5.00 Youth Membership (16 & Under) Date of Birth____________________________
Must fill out for youth membership

 

1 Year - $10.00 Membership

 

Lifetime - $400.00 Age 59 & Under; $300 Age 60 and Older

 

How Paid: (Please Check One) Cash Check #_______


 

Youth is the Future....
Take a kid Spearing Today!