Become an NACoA Affiliate Today! Just print the handy membership form below and mail to NACoA and start helping millions of COAs immediately!
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Name of Organization
Address
City
State
Zipcode
Phone
Contact Person
Address
City
State
Zipcode
Daytime Phone
Evening Phone
Reason for Seeking Affiliation with NACoA
Please include the following with your application:
Articles of Incorporation
Evidence of 501 (c)3 IRS status or pending status
One of the Following:
$250 Annual Affiliate Fee
$100 Pre-Affiliate fee, if incorporation and IRS status pending.
Your organizations mission statement or list of primary activities
Signed______________________________Title________________________Date______________
Please send to:
NACoA
11426 Rockville Pike
Suite 100
Rockville, MD 20852
Fax (301)468-0987
Phone(301)468-0985