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NCSLA Associate Membership Application
Business Name:
Application is hereby made for associate membership in the National Conference of State Liquor Administrators, in the following category (check one):
Supplier-small (1-9 brands)
Supplier-large (10 or more brands)
Wholesaler-small (single state)
Wholesaler-large (multi-state)
Retailer-small (single state)
Retailer-large (multi-state)
Trade Association-small (single state)
Trade Association-large (multi-state)
Law Firm-small (individual Bev. Alc. practice)
Law Firm-large (multi-person Bev. Alc. practice)
Other (consultants, industry-related businesses, etc.)
Trade Name:
Address:
City State & Zip:
Phone:
Fax:
Web Address:
Contact Person:
Title:
Email:
Alt. Contact Person:
Alt. Contact Title:
Alternate Email:
The undersigned, representing the applicant, 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 remitting the applicable membership fee, applicant automatically becomes an associate member entitled to all privileges of an associate member, subject to a confirmation vote at the next business meeting of the annual conference. Benefits apply to the entire business entity (not just an individual) per fiscal year. Membership year is July 1 through June 30.
YOU MUST BE A BONAFIDE MEMBER OR ASSOCIATE MEMBER TO ATTEND ANY NCSLA MEETING OR EVENT.
NCSLA ANNUAL CONFERENCE
Host: Honolulu Liquor Commission
Sheraton Waikiki Resort
Honolulu, Hawaii
June 24 - 28, 2013
Register Now!
NORTHERN/SOUTHERN REGIONAL
Host: New Jersey Division of ABC
The Revel Resort
Atlantic City, New Jersey
October 9-12, 2013
View 2012 Presentations
CENTRAL/WESTERN REGIONAL
Host: Nebraska Liquor Control Commission
Hilton Omaha
Omaha, Nebraska
October 27-30, 2013
View 2012 Presentations
National Conference of State Liquor Administrators, Inc.
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