

By mail with a check: complete the form and mail it with your check:
payable to NSA/Las Vegas to:
NSA/Las Vegas
P O Box 95724
Las Vegas NV 89193-5724
Online: click on the appropriate $$ category below you will be taken to our secure link for online payment.
Members must be professional members of the National Speakers Association.
Affiliates are not members of the National Speakers Association.
| Membership fees | New Members | Renewal before June 30, 2008 |
Renewals |
| Members | 149 | 149 | |
| Affiliates | 199 | 149 | 199 |
| Partners/Vendors | 179 | 109 | 159 |
Please print, fill out, & mail or fax this page along with your check to the address below or join us online by clicking below.
Name _________________________________________________________________
Address _______________________________________________________________
City _____________________________ State __________ Zip __________________
Business Phone ____________________________ ext. ______
Cell Phone ________________________________ (not required)
Home Phone ______________________________ (not required)
Email _________________________________________
Web site _______________________________________
Speaking Topics ________________________________________________________
How do you prefer to be contacted for correspondence or events? (circle one)
mail - email - business phone - cell phone - doesn’t matter
Are you a member of NSA national?
- _____ Yes
- _____ No, but I plan to join NSA national by __________________ (date)
- _____ No. I plan to join as an affiliate
If a member, how long have you been a member of NSA? ________
What similar organizations are you affiliated with? ______________________________
______________________________________________________________________
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