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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)
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

(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

 

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 612

Deer River, MN 56636

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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