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Membership Form

If you are experiencing problems with this form, please contact New Mexico Ethics Alliance at feedback@nmethics.org or 1-505-277-0608

Please complete the form below. Provide as much information as possible. Fields marked with * are required.

Contact Name:*
Organization:
Required for Business, Government, Professional Association, and Non-profit organizations, but not Students or Individuals
Title:
Required for Business, Government, Professional Association, and Non-profit organizations, but not Students or Individuals
Street (or PO Box) Address:*
 
City:*
State:*
Zip/Postal Code:*
Country:
Daytime Phone:*
Email Address:*
Email Address (for confirmation):*
Correspondence
  • I wish to receive New Mexico Ethics Online newsletter
Type of Organization*
  • Student
  • Individual
  • Business
  • Government
  • Non-profit Organization
  • Professional Association
Annual Membership Dues*
(see membership chart below for benefits)
  • Student $49.00
  • Individual $99.00
  • Organization - Basic $249.00
  • Organization - Premium $499.00
  • Professional Association $499.00
  • None - Donation/Sponsorship Only $0.00
Donor/Sponsorship Contributions
  • None: Membership Only
  • Donor: up to $999
  • Friend: $1,000 - $2,499
  • Patron: $2,500 - $4,999
  • Benefactor: $5,000 - $9,999
  • Leader: $10,000 - beyond
Amount:
Payment*
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