Nevada Society of Association Executives

Seminar Payment

To pre-pay by credit card for a seminar or class, please print the form below and fax the completed application to Maury Astley at 702-254-4263. For your convenience you may type your information in the fields below.

Seminar Information
Seminar Topic
Date of Seminar
Are you a NSAE Member?	Yes No

Contact Information
Name:
Title:
Organization:
Phone:
City:
Email:

Payment Information
Credit Card Type	Mastercard Visa American Express
Credit Card Number
CV #
Expiration Month	Year
Billing Name
Billing Address

Questions? Please contact:

Maury Astley, CAE, Executive Director
NSAE, 5250 Blue Gum Court, Las Vegas, NV 89148
Email: maury@cox.net Telephone: 702-254-4263
Cell Phone: 702-271-0233 Web: www.nsae.net

Members Information Change
Let us know if there has been a change in address or staff at your organization so our records are current.

Annual Dues
If you sign up as an Association or Allied member, you will receive reduced dues for your additional staff.