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Form - NMBA Member Information

* The following information will appear in the member directory, viewable by other NMBA members. However, we will NOT share your physical address or phone number.

(As you want it to appear in our Member Directory)
(Optional)
Your headshot image / photo
Square or Vertical (portrait) mages where your face is in the middle look best :)
Attach file
Drop files here
Your email will only be visible to NMBA staff and active members of the NMBA for networking / services purposes. Please report any inappropriate use of your email.
Physical Address
(internal use only, will not appear in your public listing)
  • {name}
(included in your listing)
Zip Code
(internal use only, will not appear in your public listing)
  • {name}
(internal use only, will not appear in your public listing)
Member Type
Select all that apply (this is how other members can search for services/interests)
Contact me for...
"Reach out to me for book design projects, book editing, etc.."
  • {name}
About
A short introductory bio
  • {name}
Are you a new or renewing member?
Today's Date

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