Associate Member Application

Business Name *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Website / URL *

Social Media Link: Facebook

Social Media Link: Instagram

Social Media Link: LinkedIn

Product / Service Description *

Please provide a description of your product/service using complete sentences.
This description will be included in the Member Directory.

Is your company / organization Native owned? *

No
Yes

Logo File Upload

Drag & Drop Files, Choose Files to Upload

Please upload an image of your organization's logo. A high-resolution PNG or JPG file is preferred.

Official Contact Name *

Title *

Contact Email *

Phone *

Billing Email

Same as Contact Email

Billing Email

Membership Type *

Due Fees for Casino & Equipment Manufacturers *

Due Fees for Banking & Financial Services *

Due Fees for Professional Services *

Due Fees for Law Firms & Legal LLCs *

Due Fees for Suppliers & Vendors *

Due Fees for Publications

Price: $1,000.00

Due Fees for Tribal Organizations & Other Non-Profit Assoc.

Price: $1,500.00

Payment Method *

By Card
By Check
By ACH Bank Transfer

Make checks payable to Indian Gaming Association. Note/memo "Associate Membership". ATTN: Associate Membership when sending. Send tracking # to [email protected] if possible.

Mailing Address:
Indian Gaming Association
224 2nd St. SE
Washington D.C. 20003

Please specify that the transfer is for Associate Membership Dues

ACH Routing Number: 054001204
Credit Account Number: 226005725533
Bank Information: Bank of America, 275 Valencia Ave., Brea, CA 92823

PDF Invoice Request

Please email me a PDF invoice

Pay by Credit Card *

Card

Name on Card

Total

$0.00

Membership

Membership Details

Questions?

Online Application