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GIVE THE GIFT TO:
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Current Company Name *
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primary chapter *
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If you do not see your city listed above, please list it here:
Comments
Number of years the gift receipient has worked in the sports business industry *
How did you learn of NSMN? *
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PLEASE SELECT A MEMBERSHIP LEVEL
Learn more about the levels of NSMN Membership.
Membership is annual and the membership term is 12 months.
Please select a level of membership:
Individual Membership ($125) {Just you! Non-transferable}
Individual PLUS Membership ($175) {Bring a guest with you to events!}
Student Membership ($50) Read requirements for Student Membership
Corporate Membership ($600) {Up to 10 assigned employees from any city!}
Corporate PLUS Membership ($1,200) {Each of 10 employees can bring one guest to events}
Supporting Membership ($1,700) {Up to 50 assigned employees from any city!}
Patron Membership ($3,500) {Company-wide! All employees, all cities!}
Patron PLUS Membership ($5,000) {Company-wide! All employees, all cities! Plus one guest per
member to events!}
GIFT-GIVER CONTACT INFORMATION
First name *
Last name *
Title *
Company name *
Mailing address *
City *
State *
Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip/Postal Code *
Phone *
E-mail *
Company URL
Credit Card Type *
Master Card
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Credit Card # *
Please no spaces, no dashes
Expiration Date *
01
02
03
04
05
06
07
08
09
10
11
12
2024
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2027
2028
2029
Name as it appears on your card *
Credit
Card Billing Address
Same as above
Billing Address *
City *
State *
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Alabama
Alaska
Alberta
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
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Ohio
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Ontario
Oregon
Palau
Pennsylvania
Puerto Rico
Quebec
Rhode Island
Saskatchewan
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Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
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Yukon
Zip/Postal Code *
TERMS