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

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 *
Alternate Contact - Last Name
Your answer
Alternate Contact - First Name
Your answer
Alternate Contact - Email Address
Your answer
Submit
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