Membership Form

Membership

Length of Membership, in years

Note: Name and email are required. After those fields, please only enter any data that has changed. The roster of all our members is published annually in September and mailed on paper to all members. Please write to roster@nesfa.org if you need any of your contact information withheld from the printed roster.

Email(Required)

Your Alternate Email

Your Phone

Your Alternate Phone

Your Website/Social Media URL:

Email address to send to

Person 2's Email(Required)

Person 2's Alternate Email

Person 2's Phone

Person 2's Alternate Phone

Person 2's Website/Social Media URL:

Email address to send to

Person 3's Email(Required)

Person 3's Alternate Email

Person 3's Phone

Person 3's Alternate Phone

Person 3's Website/Social Media URL:

Email address to send to

Notes

Note: If you have more than three people at the same address or people with different membership lengths, you should repeat the form. Also, If you want to include more info in our database than we asked for, please note those here. If the name of the the person paying for the membership is different than any of the names on this form, please indicate that here.

Total

Email

This field is for validation purposes and should be left unchanged.