National Independant Marketing Association 13017 Wisteria Drive #431 Germantown, MD 20874 USA Telephone: (301) 528-4000 Fax: (301) 540-1717
Please select one: I'd like to join NIMA (new members) I'd like to change my NIMA contact information (active members) I'd like to renew my NIMA membership (active or lapsed members)
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First Name		Last Name
Title		Company
Business Address and Contact Information:
Address		City
State/Province		Postal Code
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E-mail		Fax
Home Address and Contact Information (optional):
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State/Province		Postal Code
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E-mail		Fax


Please Specify Your Current Employment Type:
Self Employed in Marketing/Sales Self Employed as a Consultant Employed in Sales/Marketing		Other Employed Not Marketing/Sales Unemployed
MEMBER DUES NMA will approve applications and provide Members access to all benefits Exclusive Benefits available with Membership only. Applications must include payment.
Please Specify Your Association Type:
NIMA Member $165 annually (chapter dues additional) Ideal for individuals curently in business or employed with , service firms, consulting firms, communications/media and other organizations that market products or services to consumers. Also for newcomers who desire full benfit access. NIMA Affiliate $98 annually (Base dues, additional dues to upgrade benefit access) Includes individuals who may or may not have marketing experience or do not with to market mortgage products.
Please Specify hours available per week to perform marketing:

Affiliates may customize their "benefit access" package select desired benefit to be added to affiliate enrollment.
How Did You Hear About the National Independant Marketing Association?
Where do you anticipate targeting your marketing efforts?
Consumer Direct Internet		Publication Advertising Other/All of the above
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