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MDAA Membership Form

(Please fill out as completely as possible)

Name_____________________________________________Date_________________

Address________________________________________________________________

City___________________________________State________Zip_________________

Phone(_________)_______________________________________________________

Email _________________________________________________________________

(Please Check one and mail application to specific chapter)

Brainerd
225 1st Street

Randal, MN 56475

East Ottertail
(Perham Area)
51862 555th Ave

Menahga, MN 56464

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

Iron Range
(Hibbing Area)
11061 Arkola Rd.

Meadowlands, MN  55765

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

(St. Cloud Area)

313 Jasmine Lane E.

St. Joseph, MN  56374

 

Mid-State
(Alexandria Area)
P.O. Box 1346
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

East Central

PO Box 126

Cambridge, MN

                 55008

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

Southern Lakes
(Waseca/Waterville)

509 19th Ave. NE

Waseca, MN 56093

Northern Lakes
(Grand Rapids Area)

P.O. Box 773

Grand Rapids, MN.

                            55744

West Ottertail
(Fergus Falls Area)
815 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 - $15.00 Membership

 

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

 

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


 

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