NESA pARTners Membership
Become a member of NESA pARTners today! Family Membership is $20. Only credit card payments are accepted at this time.  Fill out the registration form below and you will be directed back to the NESA pARTners website to complete your payment using a credit card.

FAMILY MEMBERSHIP FEE:   $20.00

(Regardless of the number of family members joining)

We appreciate your support!
Sign in to Google to save your progress. Learn more
Email *
First Name of parent/grandparent/guardian joining *
Last name of parent/grandparent/guardian joining *
Relationship to NESA Student *
Required
NESA Student(s) First and Last Name *
Student Major (click all that apply) *
Required
Student(s) Graduating Year (check all that apply) *
Required
Primary Email *
Secondary Email (optional)
Member Phone Number *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms