Details about Membership Levels: http://naass.org/about-us/membership

For questions regarding membership, please contact:

Janet Lange
Executive Director
Division of Continuing Education and Professional Development
Bradley University
1501 W. Bradley Ave.
Peoria, IL 61625

lange [at] bradley [dot] edu
Toll Free: 866.880.9607
Fax: 309.677.3321

Name of Institution: *

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Name of Primary Institutional Representative: *

The individual listed in this field will be considered the official voting member for the institution.

Institutional Rep.'s Title:

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Mailing Address:

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Membership Level:

University-College Membership $250

Professional Membership $200

Affiliated/Retired Membership $50.00

You will be direct billed for your membership level. Payment is required prior to membership becoming official.
NOTE: If you are selecting the University-College Level, you may submit up to 4 additional names for full membership from your organization.

Member Name #2:

Member Name #2 Title:

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Member Name #2 Email:

Member Name #3:

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