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Thank you for your interest in becoming a member of the Nebraska Mediation Association (NMA) which offers:

Two Types of Membership

Three Levels of Membership

To join NMA, please complete the form below. When complete, click "Submit Information." You will then be directed to the shopping cart in which you can purchase your membership.

If you prefer to pay with a check, click here to print out a membership brochure that includes and application form.

MEMBER APPLICATION FORM

Name
Organization
Address
City
State
Zip Code
Phone
Email

 

Area of Practice (check all that apply)







Other - please specifiy


Type of Membership


 

Level of Membership





If org member:

1) Names of staff/firm members

 


2) Voting member

 

If student member, school enrolled in

 


Founding Member? *



*Requires a $100-$500 donation in 2010 in addition to dues
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