Thank you for your interest in joining NAMLE as an Organizational Partner! Please complete the membership application below. The membership period is one year. Upon renewal of your annual membership, you will receive an invoice via the email listed under the Primary Contact below. Should this contact information change before your renewal, please contact us at namle@namle.net to update your information. Memberships are not activated until payment is received.

Membership Info:

Membership Level

The PBS Organizational Partnership levels are only available to PBS Member Stations and their employees.

Name of Your Organization

Organization's Address

Organization's City

Organization's Country

Organization's State

Organization's Zip Code

Domestic and/or international values accepted

Organization's Email Address

Organization's Phone Number

Organization's Website

Organization's Twitter Handle

About Us

Primary Contact Info:

First Name

Last Name

Job Title

Membership Questions:

Our primary focus/interest in media literacy is:

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What is your primary audience/setting?

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By joining NAMLE, We are most interested in:

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How did you hear about us?

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Payment Information

Payment Method

Credit Card Payment Information

Name on Card

Card Number

Code

Billing Email

Hidden Renewal Information

Opportunity ID of Current Membership

Charge Amount

Is Renewal?

Contact Information