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Professional - 1 YR

Professional - 2 YR

Associate - 1 YR

Associate - 2 YR

Corporate - up to 10 Sub Accounts

Corporate - 11 to 25 Sub Accounts

Courtesy Associate - 1 YR

I would like to automatically renew my membership

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First Name *

Last Name *

Submit as a company

Company Name

Email *

Address Line 1 *

Address Line 2 *

City *

State/Province *

Zip/Postal Code *

Country *

Phone *

Individual NMLS number *

If not applicable, Type N/A

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Include a submember in your membership registration

Include a submember

SUBMEMBER {{index+1}}: {{getSubMemberName(index)}}

Choose Existing Contact(s)

Membership Level *

I would like to automatically renew my membership

First Name *

Last Name *

Email *

Address Line 1 *

Address Line 2 *

City *

State/Province *

Zip/Postal Code *

Country *

Phone *

Individual NMLS number *

If not applicable, Type N/A

Add a submember

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$ Add a donation

Other Amount

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USD

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{{orderSummary.membershipsTotal==0?'Free':formatAmount(orderSummary.membershipsTotal)}}

Membership auto-renews on {{orderSummary.membershipOrderItem.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipAutoRenew.cost)}}

{{orderSummary.membershipOrderItem.cost==0?'Free':formatAmount(orderSummary.membershipOrderItem.cost)}} {{orderSummary.membershipOrderItem.termName}}

{{orderSummary.membershipOrderItem.startDate}} - {{orderSummary.membershipOrderItem.endDate}}

Membership auto-renews on {{orderSummary.membershipOrderItem.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipAutoRenew.cost)}}

{{sm.userName}} (Submember)

{{sm.startDate}} - {{sm.endDate}}

Membership auto-renews on {{sm.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(sm.membershipAutoRenew.cost)}}

Donation

Discount Code

Code:

-{{formatAmount(orderSummary.codeDiscount)}}

Order summary

Subtotal {{formatAmount(orderSummary.subtotal)}}

Discounts -{{formatAmount(orderSummary.discounts)}}

Total {{formatAmount(orderSummary.total)}}

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Card

ACH

Cardholder First Name *

Cardholder Last Name *

Cardholder Email

Card Number *

Expiration (MM/YY) *

CVV *

Billing address is the same as mailing address

Address Line 1

Address Line 2

City

State/Province

Zip

Country

Institution

Routing Number *

Account Number *

Account Type *

Account Holder First Name *

Account Holder Last Name *

Amount:

{{formatAmount(totalAmount)}} USD

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601 Pennsylvania Ave NW
South Building, Suite 900
Washington, DC 20004
202-434-8250

director@namb.org

QUICK LINKS (this is what we had)

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Membership level allows for a maximum of {{term.subMemberAllowed}} submembers.

	Contact Name	Membership Level
	{{item.contactName}}	{{item.membershipLevel==null?'-':item.membershipLevel}} {{item.startDate}} - {{item.endDate}}
No contacts.