NDIA New Membership

Membership Form for individuals within the defense community* interested in joining NDIA.

Please visit our website (www.ndia.net) for more information regarding Membership, Membership Benefits, etc. For any questions regarding New Membership, or NDIA in general, please email nationaldefender@gmail.com or call (920) 395-2330.

NDIA Membership Term is based on the date payment is received and expires at the end of that month within the final year of chosen term. NDIA Membership dues are non-refundable.

*The defense community includes (but is not limited to) Investigators, Paralegals, Mitigation Specialists, Social Workers and Attorneys. The defense community does not include any employee or representative of any prosecutorial agency/office.

Registration Type*

$50 - NDIA 1-Year New Membership$75 - NDIA 2-Year New Membership$100 - NDIA 3-Year New Membership

Name*

First NameLast Name

Position/Title*

Agency/Office*

Email*

Work/Business Email

Phone Number*

Please enter a valid phone number.

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

I am presently employed as*

Signature*

I affirm that I have accurately represented the information submitted in my NDIA New Membership Form. I will notify NDIA of any changes.

NDIA New Member*

1-Year NDIA New MembershipNDIA New Membership (1 Year).

$50.00

2-Year NDIA New MembershipNDIA New Membership (2 Years).

$75.00

3-Year NDIA New MembershipNDIA New Membership (3 Years).

$100.00

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Total

$0.00

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