MEMBERSHIP INFO  






 

In cooperation with the National Center for State Courts.


NATIONAL
GOVERNMENTAL
COLLECTORS
ASSOCIATION

848 N. Rainbow Blvd. #559
Las Vegas, Nevada 89107

832-296-4602

 


Copyright © 2008
All Rights Reserved

 
NGCA Membership Application


Individual Member - $150.00
Eligibility: Any person(s) employed by and / or responsible for the collection of revenue due a governmental entity.

If you are applying for free membership scan and email this form to conferenceconsultant@ngcagov.org.

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Card Holder/Applicant Information
Name of Organization:
First Name:
Last Name:
Title:
Address:
City:
State:
ZIP:
Business Phone:
Business Fax:
Reply to Email:
How did you hear about the association?:
(ex: email, web search, postcard, colleague, conference, etc.)
Applicant Information (if different from Card Holder Information above - i.e. you are paying for someone else)
*This information will show up in the Shipping Information section of the payment form*
Name of Organization:
First Name:
Last Name:
Title:
Address:
City:
State:
ZIP:
Business Phone:
Business Fax:
Reply to Email:
I do hereby make application for membership in the National Governmental Collectors Association.

 

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