NIS Membership Form 2018
First Name *
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Last Name *
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Address *
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City *
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State *
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Zip *
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Home Phone Number *
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Email:
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Are you adding another Family Member? *
Name of the Family Member
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Email ID
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Phone No.
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Click the following link to make a payment using Paypal: https://goo.gl/XKKrUI *
($60- Individual, $100- Family)
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