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NSAC Artist Membership Form
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* Indicates required question
Contact Person
*
First Name then Last Name
Your answer
Business Name
*
Your answer
Business Address
*
include street, state and zip code
Your answer
Phone Number
*
Format xxx-xxx-xxxx (please include the dashes)
Your answer
Web site URL
*
Your answer
Email address
*
Your answer
Brief Description of Program for our website
*
please only 2-3 sentences
Your answer
Member Discounts
Please consider offering NSAC a members-only discount
Your answer
Method of Membership Payment
*
I will pay online using pay pal/credit card
I will mail in my check
Alternate Contact - Last Name
Your answer
Alternate Contact - First Name
Your answer
Alternate Contact - Email Address
Your answer
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