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Membership Application

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* Your new membership will be good through 1/15/2019
General Information
Agency Type* Agency Name*
First Name* Agency Name 2
Middle Initial Address*
Last Name* Address 2
Job Title City*
Credentials State*
Email*
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Membership Types  
Regular Membership
Regular membership is for those who establish their ISM membership through NPI.
Full year $240.00*
(After July $125)
*Includes one time $20.00
ISM initiation fee.
Dual Membership
Dual membership is for those who are already members of ISM through another ISM affiliate. (Individuals must maintain membership in ISM at all times to be eligible for dual membership in NPI.)
ISM Affiliate 
Full year $90.00
(After July $45)
Associate Membership
Associate Membership is for those who wish to establish membership only with NPI (Does not include membership with ISM).
Full year $90.00
(After July $45)
TOTAL PRICE:

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