NAAWS Membership Form

Membership Dues for new
and renewing members
1 year – $25 US //
2 year – $45 US //
3 year – $65 US

Registration

Are You a New Member? — Yes, I am a New Member No, I am Renewing Membership Years of Membership Desired — 1 year – $25 US 2 years – $45 US 3 years – $65 US First Name Last Name Title Agency Address City State Zip Country — United States Canada Mexico Applicant Phone Applicant Email

Payee Information

Will the membership payment be made by the person(s) whose name(s) is/are on this application? — Yes — the payee and the applicant are the same person No — someone will be making the payment on behalf of the applicant Payee Email Address (required to match payment with application)