NCSLA Associate Account Membership Application
Your organization or state must have applied and paid for membership before you can create a personal membership account.

 

Member Category:
Organization or State Name:
Address:
City State & Zip:
Phone:
Fax:
Web Address:
Your Name:
Title:
Email:
 
The undersigned agrees to uphold the standards and integrity of the National Conference of State Liquor Administrators, abide by the organization's constitution and bylaws as may be applicable, and agrees, to the extent possible, to actively attend meetings and conferences of the association.
Signature:
Date:
 
After your organization remits applicable membership fee (as advised by Executive Director), applicant automatically becomes an associate member, entitled to all privIleges of an associate member, subject to a confirmation vote at the next annual conference. Membership year is July 1 through June 30.
YOU MUST BE A BONAFIDE MEMBER OR ASSOCIATE MEMBER TO ATTEND ANY NCSLA MEETING OR EVENT.