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CUSTOMER SERVICE

MEMBERSHIP APPLICATION

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We accept Mastercard, Visa and American Express.

	* = Required
First name	*
Last name	*
Title
Company
Prior Title
Prior Company

Mailing address	*

City	*
State	*
Zip/Postal Code	*
Phone	*
Fax
E-mail	* (Receive NSMN email here)
Altenate E-mail (for our files only)
Company URL

Please select your primary chapter	*
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?	*
Referred by?
Comments
MEMBERSHIP OPTIONS
	Membership Rates are ANNUAL. Your membership term is 12 months. * Browse Membership Levels 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 To learn more about the various types of NSMN membership, please refer to the ABOUT MEMBERSHIP page on this website.
PAYMENT INFORMATION
Credit Card Type	*
Credit Card #	* Please no spaces, no dashes
Expiration Date	[mm/yyyy] *
Name as it appears on your card	*
Credit Card Billing Address Same as above
Billing Address	*

City	*
State	*
Zip/Postal Code	*
TERMS * OUR CANCELLATION POLICY FOR EVENTS: I understand that NSMN offers events at no charge to members. I also understand that I may be charged a $25 non-cancellation fee if I don't cancel any reservations I can't keep in writing by at least 4 hours before an event. I authorize NSMN to use this credit card if I incur any non-cancellation fees under the terms of my NSMN membership.
* Authorization I authorize NSMN to charge my credit card the amount selected. I understand that this purchase is non-refundable.
AUTOMATIC PAYMENT: (optional) I authorize NSMN to automatically charge this credit card for next year's membership fee when my one year membership expires. I understand that I will be billed for the same level of membership and that if NSMN's fees increase, I will be contacted directly before any charges occur. I understand that I will receive a receipt for my automatic payment on the day that NSMN charges my credit card.
* I understand that use of the NSMN logo on my company materials, and website, is strictly prohibited without written consent from the National Sports Marketing Network (NSMN).

*Thank you for your payment.*

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