IAC Tribal Membership Application

Membership: All Federally recognized Tribes and Native Alaskan Tribes, as defined in the Self Determination Act, (PL93-638) with an interest in the management and development of Indian agricultural resources are eligible for general membership.

Today's Date:

Federally Recognized Tribe

Contact email address:

Mailing address:

City:

State:

Zip:

BIA Region:

Primary Delegate

First Name:

Last Name:

Delegate Email Address:

Delegate Phone Number

Alternate Delegate

Name (first, last):

Email:

Phone number:

Additional comments:

Upload Signed Resolution

Contact Information