AIA North Dakota - Online Allied Member Application

Allied Member

First Name^*

Last Name^*

Email^*

Phone^*

Company Name^*

Address^*

City^*

State^*

ZIP^*

Logo

Website

Please provide a brief description

Please provide a brief description (35 words or less) of the products or services supplied to the design profession.
For Silver and Gold Members, this will be included in the AIA North Dakota Magazine. (Type or Print)

AIA North Dakota Allied Membership Dues^*

Bronze - $100

Silver - $250

Gold - $500

Additional Donation to Student Scholarship Fund

(Any contribution is appreciated.)

Total: $0.00