NPMA - National Property Management Association

Group Membership Application

Organization Information

Please tell us about your organization.

^*Company

If "Other" please provide name

^*Mailing Address

^*City

^*State

^*Zip

^*Chapter

Region

(select a chapter above)

^*Check the box that best describes your organization

Consulting	DOD
DOE	Educational
Federal	Int'l Government
Local	Manufacturing
Medical	Research & Development
Retired	Service
State	Unemployed

If Other, please specify below.

Primary Contact Information

Please tell us about yourself.

^*First Name

^*Last Name

Phone

Fax

^*Email

Do not place my name on the National Mailing List to be shared or sold to other organizations, associations or property management vendors.

Password Information

Please create a supervisor password below. You will need your email address and password to login.

^*Password

^*Confirm Password

Alternate Contact Information

First Name

Last Name

Phone

Fax

Payment Information

Membership Fee:

Groups 5-50		$90.00 each
Groups 50+		$80.00 each

^*Total Membership Acq

^*Method of Payment

	Check Enclosed
	Charge Card
	Purchase Order

Amount Due

If paying by Charge Card
Type of Charge Card

	Visa
	Mastercard
	American Express

Card Number

Exp Date

Credit Card Billing Address

Credit Card Billing Zip Code

Purchase Order Number
(If paying by Purchase Order)

(Your application will NOT be processed until payment is received.)

Additional Information

Comment

Please click the Continue button below, and your application will be sent to the NPMA Headquarters for processing.