Membership Form

Membership Form

Register your pest control company with Nevada Pest Management Association
Company Information
Company Name
Company Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Company Description
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Website
Company Logo

Cancelof
Representative Information
Name

First NameLast Name
Title
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Premium Membership Includes the following:
- Entry for one (1) Principal to the NVPMA's Pest Expo.
- Support towards protecting our industry and business from unnecessary legislation.
- NVPMA logo is available for co-branding.
- Access to attend quarterly meetings.
- Access to the Bee Hotline.
- Access the online Classifieds at nevadapma.org.
- Complimentary website advertisement on the NVPMA website with logo & backlink.

Premium Membership

$99.00 - AUTO CHARGE by the 15th OF EVERY MONTH Annual Membership terms are from July1st-June30th Membership automatically renews annually unless canceled in writing.

$99.00 for each month

Small Company Association Member

Must have 5 or less service vehicles companywide to be eligible for this membership level. $39.00 - AUTO CHARGE by the 15th OF EVERY MONTH Annual Membership terms are from July1st-June30th Membership automatically renews annually unless canceled in writing.

$39.00 for each month

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Should be Empty:

Membership Form

Company Information

Representative Information

Premium Membership Includes the following:

*