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Secondary Associate Membership Application

You may join NAPO-NY by completing this online application, or by downloading and printing an application and returning it with a check for the appropriate dues to NAPO-NY.

This membership option is available only to representatives of companies currently enrolled as Associate Members in NAPO-NY. NAPO-NY Associate Members are NOT required to be members of NAPO.

Part 1: Directory Information
Secondary Associate Member ($100)
 
First Name:
Middle Name:
Last Name:
   
Title:
Company Name:
   
Please provide contact details if different from primary company information.
Address:
City:
State:
ZIP:
   
Phone:
Fax:
   
Email:
Web Site:
My company is doing business in the field of organizing as a (check all that apply):
Distributor   Other   Service   Manufacturer  
Company products and/or services (Please describe):
Part Two: Code of Ethics
I have read and agree to abide by the NAPO Code of Ethics.
In submitting this information I authorize its use on the NAPO-NY website.

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