Become a CNIGA Member

Tribe(Required)

Complete Tribe Name(Required)

Name Of Tribal Chairperson(Required)

First Last

Tribal Website

Tribe Office Phone(Required)

Tribe Logo

Accepted file types: jpg, png, Max. file size: 2 MB.

Tribal Mailing Street Address(Required)

Address Line 2

State, City, Zip(Required)

Do you have a different physical address?(Required)

Yes

Tribal Physical Street Address(Required)

Address Line 2

State, City, Zip(Required)

Name of Tribal Administrative Assistant(Required)

First Last

Tribal Administrative Assistant Email(Required)

Do you have a Gaming Facility?

Yes

Gaming Facility(Required)

Complete Gaming Facility Name(Required)

Gaming Facility Website

Gaming Facility Phone

Gaming Facility Logo

Accepted file types: jpg, png, Max. file size: 2 MB.

Gaming Facility Street Address(Required)

State, City, Zip(Required)

Gaming Facility Contact

First Last

Primary Tribal Representative to CNIGA

Known as “First Delegate” and is usually the Tribal Chairperson

Name(Required)

First Last

Title(Required)

Email(Required)

Secondary Tribal Representative to CNIGA

Known as the “Second Delegate”

Name(Required)

First Last

Title(Required)

Email(Required)

Alternative Tribal Representative(s) to CNIGA

Known as the “Alternate Delegate(s)”

Name of the first Alternative Representative(Required)

First Last

Title(Required)

Email(Required)

Would you like to add more alternate respresentatives?(Required)

Name of the second Alternative Representative(Required)

First Last

Title(Required)

Email(Required)

Name of the third Alternative Representative(Required)

First Last

Title(Required)

Email(Required)

Name of the fourth Alternative Representative(Required)

First Last

Title(Required)

Email(Required)

*CNIGA sends all correspondence via e-mail so please be sure to include all e-mail addresses.

Membership Fees(Required)

Gaming Tribe Dues: $5000 + Assessments (# of all gaming facility employees at $40 each.)

Non-Gaming Tribe Dues: $5000

Please pro-rate your fees - Fiscal Year begins November 1 – October 31.
CNIGA - 2150 River Plaza Dr # 120, Sacramento, CA 95833

Number of Gaming Facility Employees(Required)

Total for Gaming Facility Employees

Total Membership Price

Attach Resolution(Required)

Accepted file types: pdf, Max. file size: 2 MB.

You can download a sample resolution here.

Name

This field is for validation purposes and should be left unchanged.

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