Associate Membership Application

I would like to request a NCASG associate membership for the annual term.

I understand that associate membership must be approved by the NCASG Executive Committee.

If approved to join, I understand that annual term dues are $400 for the July 1 – June 30 fiscal year.

I agree to support the NCASG mission.

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Applicant Name *

First

Last

Applicant Job Title *

Agency or Organization Represented *

Applicant Email *

of consideration describe

Applicant Phone

Please describe your interest in the NCASG for the consideration of the Executive Committee. How will you support the mission of the NCASG? *

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