Nepal Association of Oregon

Membership Form

Step 1 of 4:

Please fill in the information below to become a member of NAO. Hit Next to go to Step 2.

Member Information:
Membership Type
Individual	(1 yr - $10, 2yrs - $20)
Family	(1 yr - $25, 2yrs - $50)
Student	(1 yr - $5, 2yrs - $10)
Personal Information:
First Name:	*
Middle Name:
Last Name:	*
Home Phone:	- - *
Cell Phone:	- -
Email Address:	*
Mailing Address:
Address 1:	*
Address 2:
City:	*
State:	*
Zip:	*
Family Information:
Spouse:
First Name:
Last Name:
Family Member 1:	Over 18? Yes
Relationship:
First Name:
Last Name:
Family Member 2:	Over 18? Yes
Relationship:
First Name:
Last Name:
Family Member 3:	Over 18? Yes
Relationship:
First Name:
Last Name:
Family Member 4:	Over 18? Yes
Relationship:
First Name:
Last Name:
Student Information:
School
Name of School:

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