2022-2023 NBS-Level Individual Membership in Chapters

* Required information

NBS MEMBERSHIP LEVEL INFORMATION

*
Membership category
- Student
- Professional
*
Membership Status
- New member (joining for the first time)
- Renewing member
For renewing members, membership number (if known)
* Chapter Affiliation
Those not affiliated with a school possessing an National Electronic Media Association chapter should identify affiliation as "National Chapter."
If you selected "National Chapter" in the previous answer and you attend or are employed by a college/university, please identify the school.
If you were previously affiliated with a different chapter (or chapters), please indicate the name of that/those chapter(s).
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Are you a current advisor of a National Electronic Media Association chapter?
- Yes
- No
*
Are you the current president of a National Electronic Media Association chapter?
- Yes
- No

Prefix:
* First Name:
Middle Name/Initial (if you would like it on a certificate)
* Last Name:
If you were previously registered under a different name, please indicate that name.
* Email Address:
* Confirm Email Address:
* Address 1:
Address 2:
Address 3:
* City:
* State:
* ZIP Code:
* Country:
* Phone:
Certain individuals have been given a promo code for special registration circumstances. If you qualify, please enter your promo code below otherwise leave blank.
Promo Code

Enter Code: Apply

Type	Fee
Individual 1-year Student Membership	$25.00
Individual 1-year Professional Membership	$25.00
Individual 1-year Professional Membership for Chapter Advisors	No Charge

By clicking the button below, I verify that: 1) I understand National Electronic Media Association membership is non-refundable and non-transferable. 2) I acknowledge and accept that all National Electronic Media Association sponsored events are alcohol and smoke free. 3) I grant permission to the National Electronic Media Association to use my image and/or voice in any organizational related promotional material either in print or via electronic dissemination (video or web-based).
*
Verification
- Yes, I agree.

Before hitting the "Register" or "Continue" button, print one copy of this form for your records and one copy of the form to mail in if you are paying by check.

Pay with PayPal or Credit Card
Pay By Check
Please make check payable to:
NBS-AERho: The National Electronic Media Association
P.O. Box 4206
Chesterfield, MO 63006