NJPA Participating Membership Application

PARTICIPATING MEMBERSHIP APPLICATION AND AGREEMENT
Please complete the form below to become a member of the NJPA via online or click here to download the Participating Membership Agreement. Thank you for becoming one of us!

PRINTABLE MEMBERSHIP APPLICATION

For agencies that require board action or signatures to approve Membership, please download the printable application here.

Return your signed copy to:

NJPA

200 First Street NE

Staples, MN 56479

OR SUBMIT ONLINE FOR IMMEDIATE MEMBERSHIP

* Denotes Required Field

Organization/Agency Name: *

Federal ID Number:

Applicant First Name: *

Applicant Last Name: *

Applicant Title: *

Address: *

City: *

State: *

Service Coop Region

Zip Code: *

Phone: *

Primary Contact Method: *

Organization Type
(Municipality, School District,
Non Profit, Etc.): *

Cell:

Fax:

Email Address: *

Referral Source: *

Products and Services Interest. Please check areas of interest *

Would you like to receive additional communications about upcoming
news, events, and promotions about our organization?
Yes No

Participating Membership Agreement - National Joint Powers Alliance®
This Agreement, made and entered into on Wednesday, March 10, 2010, by and between National Joint Powers Alliance® (herein after "NJPA") and the applicant below, (hereinafter "Applicant").

Whereas, the NJPA is created by Minnesota Statute §123A.21 (with membership further defined in Minnesota Statute §471.59) to serve cities, counties, towns, public or private schools, political subdivisions of Minnesota or another state, another state, any agency of the State of Minnesota or the United States, including instrumentalities of a governmental unit; and

Whereas, NJPA's purpose as defined in Minnesota Statute §123A.21 is to assist in meeting specific needs of clients which could be better provided by NJPA than by the members themselves; and

Whereas, the NJPA Board of Directors has established the ability for an Applicant desiring to participate in NJPA contracts and procurement programs to become a Participating Member; and

Whereas, the NJPA Board of Directors has determined that Participating Members will have no financial interest or liability, nor be entitled to any representation on the NJPA Board of Directors, nor have any organizational liability to NJPA; and

Whereas, Applicant asserts that it is authorized to become a Participating Member of NJPA under the laws of its state or nation.

Now, Therefore, The parties hereby agree as follows:
That Applicant desires to be a Participating Member of NJPA with contract purchasing benefits, and that NJPA hereby grants said Membership status to Applicant.

This Agreement shall continue to remain in force until either party elects to dissolve the Agreement for any reason by written notice.

THEREFORE, IN WITNESS THEREOF,
the parties hereto have executed this Agreement the day and year written above.

RELEVANT MEMBERSHIP POLICY
Click here for PDF Membership Policy

In the event your organization requires a Joint Power Agreement, download it here.