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Membership Renewal Questionnaire

Please spare a few minutes to let us know why you are not renewing your memebrship by answering the questions below:





Membership Questionnaire

Please tell us your NISA Membership Number:

First Name:
Last Name:

Do you plan on renewing your NISA membership?

If you do not plan on renewing please let us know why:
(You can select more than one option)

If other please state your reason here:

Would you like to remain on our mailing list?