NSAC Artist Membership Form
After submitting this form, please remember to go back and pay your membership fee.

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Contact Person *
First Name then Last Name
Business Name *
 Business Address *
include street, state and zip code
Phone Number *
Format xxx-xxx-xxxx  (please include the dashes)
Web site URL *
Email address *
Brief Description of Program for our website *
please only 2-3 sentences
Member Discounts
Please consider offering NSAC a members-only discount
Method of Membership Payment *
Alternate Contact - Last Name
Alternate Contact - First Name
Alternate Contact - Email Address
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