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Northern Chapter Membership Renewal Form

MISAC Membership is $160 for Full voting member priviledges (reserved for IT Directors and/or Managers) and Associate membership is $130 for designated staff. 

Agencies and/or Municipalities must have one Full member before Associate member is allowed. 

To email your membership new member request or renewal to MISAC, please complete the following. 
You can either pay via credit card by selecting the membership type and adding to your "cart" below or if you click "submit", MISAC State will invoice you for membership.

Name:
Agency:
Title:
Address:
City, State, Zip:
Phone #:
FAX #:
E-mail address:
Full or Associate:

Please "submit" information: 

Please enter the word above in the text box below.

Payment options will be available after you submit information