NMBA Membership Renewal
and data change form
  Use this form to renew your membership and/or let us know any changes in your information for our database. Please print out the page, fill out your information and send it along with your your check to the New Mexico Book Association, P.O. Box 1285, Santa Fe, New Mexico 87504.

NMBA Membership Renewal

[   ] YES! I will continue as a member in good standing in New Mexico's publishing community. Enclosed is $62 for the year and the latest about my professional or business activity for the NMBA databases:

Single membership ($62) ( Institutional membership ($62)
( Include my partner ($15): __________________________

[   ] I am already a member in good standing, but I would like my membership data updated with the information below.

Name:__________________________________
Business / Institution / Profession: ________________________________
Address: __________________________ City: __________________
State: ____ Zip: __________
Phone: ( ) __________ Fax: ( ) _____________
Email: _____________

Description of your business or activity:

_________________________________________________________

_________________________________________________________


Website: ______________________________________________

   

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