Custom Membership Form

Call Back Form

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A Non-profit Community Organization

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Please fill the form below to pay your membership dues

First Name

Last Name

Email

Address

Phone Number

Membership Type

Life - $1000

Business - $100

Family - $35

Individual - $25

Senior/Student - $15

Benefactor - $100

Business Name

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info@niles.org | (510) 857-6512

Niles Main Street Association (NMSA) is a US tax-exempt 501(c)(3) nonprofit organization

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