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NETA Membership Application 2024-2025
Please submit one application per member.
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Email
*
Your email
Member Information
First Name
*
Your answer
Last Name
*
Your answer
Title
*
Your answer
Phone
*
Your answer
Email (if different from above)
Your answer
I am interested in assisting the following NETA teams: (check all that apply)
Conference
Finance
Governance/By-Laws
Marketing
Membership
Professional Development
Web/Technology
Sponsorship and Fundraising
Other:
Institution Information
Institution Name
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Your answer
Street
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Your answer
City
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Your answer
State
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Your answer
Zip
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Your answer
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