MMDAA Membership Form

(Please fill out as completely as possible)
City___________________________________State________Zip_________________ Phone(_________)______________________________________________________
Email _________________________________________________________________

1 Year – $15.00 Membership

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

Lifetime Membership – ($400.00 Age 59 & Under; $300 Age 60 and Older)

How Paid: (Please Check One) Check #_______

(Please mail the completed application with the appropriate dues to the specific chapter you would like to join)

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 563083

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