NOTE: An association is prohibited from joining NSDA as an Associate Member if a Regular Member has joined NSDA from the same state where the association is based, and the association is not a member of the NSDA Regular Member in that state. The aforementioned limitation shall not apply to a national association joining as an Associate Member, as approved by the NSDA Executive Committee.

Application TypePlease Select OneRegular MemberAssociate MemberAffiliate Member

Main Contact Name

Main Contact Title

Email

Phone Number

Organization Name:

Website

Physical Address

City, State, Zip

Mailing Address If different than physical address)

City, State, Zip

Organization Annual Operating Budget

---

Statewide or Regional Organizations/Associations

Operating Budget

Under $1M

$1M - $5M

$5M - $7.5M

$7.5M - $10M

$10M +

Dues

$500 Annually

$1,000 Annually

$1,250 Annually

$1,500 Annually

$2,500 Annually

$5,000 Annually

$7,500 Annually

$10,000 Annually

$25,000 Annually

Payment

Check

Credit Card (You will receive a link to pay upon approval)

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

There was a problem saving your submission. Please try again later.

Please wait while your submission is being saved...

Submitting...Submit

Thank you, your submission has been received.