N.A.M.E. Membership Application

*Required Field. *Email is your login name.

Company Information *Company Name:
*Contact Name:
*Address:
*City:
*Zip Code:
*State:
*Area Code:
*Phone:
Home Phone:
Fax:
**Email:
Website:
*Business Type:

Administration

Account Type	Fee
Company MemberCompany Member Independents or small multi operators in the mobile entertainment or closely related industries such as Dj's, photographers, videographers, bridal and wedding consultants. Closely related will include those mentioned but will also include others that will fit the criteria being related as a profession in the entertainment field.	$125.00
Associate MemberAssociate Member Individuals that are employees or exclusive sub contractors of a basic or corporate member. Associate membership includes all related fields of the mobile entertainment industry.	$75.00
Corporate MemberCorporate Member Larger operators or multi faceted companies or corporations that will be more of an up scale company and require more administrative services. Corporate members will be all inclusive of basic membership.	$200.00

*Account Type:
*Password:

Payment Information *Payment Type:

Credit Card Info Credit Card Type:
Name On Card:
Credit Card Number:
C/C Expiratation:
CVV2:

What is a CVV2 number? CVV2