Members Application
Name
*
Last Name
First name
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Your Three Initials
*
These initials will be unique to you. If someone is already using your initials will let you know via email.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you a new or a returning member?
*
I Am a New Member
I Am a Returning Member
Do you want to be a consignor?
*
Yes
No
Please select any activities that you would like to help the NAA with
*
Front-desk Hosting at the Gallery
Concerts or Special Events
Show Change
Wine Walk
Workshops, Demonstrations, or Presentations
Serving on the Executive Board
Assisting a Member of the Executive Board
I am unable to help at this time
Emergency Contact and Phone Number
*
Membership Type. Memberships are good for one calendar year. However, you may join or renew up to 3 months prior to January 1.
*
Annual Membership - $40.00
Student Membership (ages 13-18) - $20.00
Autofill from Previous Submission
Payment Method
*
Pay with Credit Card
Pay in person: 449 W. King St, Carson City, NV 89701
Payment with Credit Card
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NAA Membership
One year full membership.
$40.00
$
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
NAA Student Membership
(13-18)
$20.00
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Comments
Payment in person
Pay in person or by mail: NAA 449 W. King St. Carson City, NV 89703
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