NAISMA Membership Form
  1. Membership Level: (indicate Regular or Sustaining Level): (*)



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  2. If choosing "Sustaining Membership," please choose your level of membership.
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  3. Amount (if more than $75)
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  4. Name(*)
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  5. Title
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  6. Email(*)
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  7. Company/Agency/Organization
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  8. Address
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  9. Phone(*)
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  10. City
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  11. State/Province
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  12. Postal Code
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  13. Country
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  14. Payment



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  15.