Allied Associations Group Membership Application

Allied Associations Group Membership Application

We would like to submit our application for membership in the NAM's Allied Associations Group.

PLEASE PROVIDE THE INFORMATION BELOW:
(Fields marked with asterisks are required)

* Our annual budget in the last fiscal year was - (Check one)

Annual Budget	Annual Membership Fee
$300,000 or less	$660
$300,001 to $750,000	$1,100
$750,001 to $1.25 million	$1,540
$1.25 million to $2.5 million	$1,980
$2.5 million and Above	$2,420

* Association Name:

Acronym:

* Address:

* City:

* State:

* Zip Code:

* Telephone:

* Fax:

* Email:

Website Address/URL:

* CEO Name:

* CEO Title:

Number of Years as CEO:

Number of Members:

Estimated number of employees represented:

Number of Association Staff (FTE):

- other key staff members -

Government Affairs: Name/Title

Surveys: Name/Title

Training: Name/Title

Consulting: Name/Title

Workforce: Name/Title

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