We are pleased to offer our esteemed association members an Online Payment Process
for their semi annual/annual membership renewal and Annual Meeting fees through MC/VISA/Discover

:

Please type in your credit card number.
$
Please type in the amount you are paying.
Exp. Date: Mo Yr
Card Type: MC VISA Discover
First Name:
Last Name:
Billing Address:
City, State & Zip:
Phone:
Email:

(Email required in order for this form to work)
Intructions or Comments:
Thank you for your payment!
You will receive a confirmation email from our Executive Secretary
once your payment is processed.
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4407 Wilshire Ste. 302 | Mound, MN 55364
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