Registration Status:(Required)
If you need to verify your membership status, please refer to website (membership tab/2022 paid members)

***Online payment can be made on website- Contact/Pay online ($5.00 convenience fee will be added to cover credit card service fees)***

  Return application and remittance by mail to: Miranda Langerud 54 N. Stanley Dr. Lincoln, ND 58504

Personal Information

For executive board members only. Ensure name is how you prefer printed for your CE Certificate***