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  Step One | Membership Form

To join NUEA we need to know a little about you. Please fill out the form below as completely as possible.

I'm filling out this form for a

Tell us about yourself

* Required Field

Full Name *


Company Name

Work Address

Work City, State, Zip

Work Phone/Fax

Work E-mail Address

Home Address

Home City, State, Zip

Home Phone/Fax

Home E-mail Address *

Year Graduated *

Department and School


Choose your preferences

I would like to receive mail at:
Home   Work

Addresses I'd like listed in the directory:
Home   Work   E-mail   None

Phone numbers I'd like listed in the directory:
Home   Work   None

Occupation *

Getting Involved
I'd like to volunteer

How did you hear about us?


    Joining NUEA is easy…

Step One
Fill out our membership form to the left so we know who you are

Step Two
You will be directed to PayPal for your credit card payment.

Step Three
You will be notified by email confirming your NUEA membership status.

Join by mail
If you are unable to pay dues using Paypal, please send a check to NUEA, PO Box 691702, Los Angeles, CA 90069 after completing the membership form on-line. Thank you!


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