Sustaining Membership Upgrade Form

Sustaining Membership Upgrade Form
Name*

First NameLast Name
Company, Firm, or Organization*
Title / Position*
Your title/position at above company, firm, or organization (e.g. Partner, Counsel, Director, etc.)
Email Address*

Confirmation Emailex: youremail@company.com

Membership Option and Fee*

Regular Membership

Annual Membership | Jan 01, 2025 - Dec 31, 2025

$400.00

Sustaining Membership Upgrade

We are offering our members an opportunity to provide additional financial support to NELC by paying $1,000, instead of the regular member price, to become a Sustaining Member. More info about the benefits of Sustaining Membership available at https://nelc.us/sustain

$600.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Membership Activation and Conference Registration
Should be Empty: