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Apply to Join the NNMSA

Please complete our forms to apply for Voting or Associate membership or as a partner/sponsor of the NNMSA. We ask for Contact Information (the personal information form below) and Organization Information on following pages.

If you are a person representing an organization that is not currently an NNMSA member, then please complete the Organization Application Form that will be displayed after you complete the form below for your personal Contact Information.

Associate Membership is for any organization that does not otherwise qualify for Voting Membership.

Your organization must have a physical location within Northern New Mexico to qualify for Voting Membership in the NNMSA. Northern New Mexico is comprised of the following counties, pueblos and tribes:

Qualifying Counties:

Qualifying Pueblos/Tribes:

If you do not have a presence in a qualifying county or pueblo/tribe, then apply for an Associate Membership.

Please see the NNMSA Privacy Policies. Your personal and organizational information will not be sold or provided to third parties.

Contact Information Form

* = Required Field

*First Name

*Last Name

*Title

The following information is how the NNMSA should contact you personally. The address/phone information may be different from the same information for your Organization.

*Address Line 1

Address Line 2

Address Line 3

Address Line 4

*City

*State/Region

*Zip Code

-
If foreign address, enter 00000-0000.

*Country

*Telephone 1

- - (Include area code.)

Telephone 2

- - (Include area code.)

Fax

- - (Include area code.)

*Non United States Postal Code, Telephone and Fax*
Postal Code
Telephone
Fax

*Email

*User ID

(Type a word that uniquely identifies you.)

*Password

*Confirm Password

(Re-key password.)

*Organization Name

New NNMSA Member Organization
(Select New if your organization is not currently a member of the NNMSA.)

Or

Existing NNMSA Organization Member
from the list below: