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* = Required |
Contact Information |
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| First name * |
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| Last name * |
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| Title
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| Company |
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| Prior
Title |
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| Prior
Company |
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| Mailing address* |
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| City * |
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| State * |
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| Zip/Postal Code * |
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| Phone * |
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| E-mail * |
(Receive
NSMN email here) |
Altenate
E-mail
(for our files only) |
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| Website |
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| Twitter |
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| LinkedIn |
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Please select your
primary chapter * |
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If you do not see your city listed above, please list it here:
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Number of years
in the sports business industry? * |
(Please excluding years spent
in college/graduate school) |
| Are you job seeking? * |
Yes
No
(Your response will remain confidential) |
| How did you learn of NSMN? * |
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| Referred
by? |
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| Comments |
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Membership Options |
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To
learn more about the various types
of NSMN membership, please refer to
the ABOUT
MEMBERSHIP page on this website.
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Membership Rates are ANNUAL.
Your membership term is 12 months. * |
Individual ($100)
Individual PLUS ($150)
Corporate ($500)
Corporate PLUS ($1,000)
Supporting ($1,500)
Patron ($2,500)
Full Time Students ($50)
Read requirements for Student Membership |
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Payment Information |
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| Credit Card Type * |
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| Credit Card # * |
Please no spaces, no dashes |
| Expiration Date * |
[mm/yyyy] |
| Name as it appears on your card * |
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| Credit
Card Billing Address |
Same as above |
| Billing Address * |
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| City * |
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| State * |
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| Zip/Postal Code * |
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Terms |
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GoDaddy
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