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2010 NCIS Membership Application

Thank you for your interest in NCIS. We are currently accepting membership applications for 2010. Membership is for the calendar year. Applications are only accepted online using the form below. This information is used for your directory listing and to provide access to the members only portion of this site. Please ensure your listing is complete and accurate. This information will not be shared or sold to any third party.

Payment is expected at the time of membership application and will be processed securely through PayPal. Payment may be made by any major credit card, debit card, eCheck or transferring funds directly from your bank account. A PayPal account is not required for credit cards.

Information on how to submit your CV is included in a letter welcoming you to NCIS that will be sent to you by email immediately after your membership is processed.

Membership questions can be addressed to our membership chair at nbdncis@gmail.com

Member Record

First Name:*

Last Name:*

Address:*

Address:

City:*

State:

Postal Code:*

Country:*

Email Address:*

Create Your Password:* (To access the Member’s section of this site.)

Phone:

Website:

Languages Spoken:

Area(s) of Research:

*Required

Privacy Options

Allow occasional member emails from NCIS.

Display Email Address in online Member Directory.

Membership Options

Please select a membership level based on your current income.

$20 - Less than $30,000 of Annual Income
$40 - $30,001-$60,000 of Annual Income
$60 - $60,001-$80,000 of Annual Income
$80 - $80,001-$100,000 of Annual Income
$100 - More than $100,000 of Annual Income
$200 - Patron (1 year)
$500 - Benefactor (1 year)
$1,000 - Life Membership

$10 - Additional Joint Membership (Partner or Spouse)

$15 - Personal NCIS Web Page

Optional Donation: (Tax deductible in the US)
$

The Membership Committee reserves the right to reject applications which are incomplete or contain data that cannot be verified.