New Registration & Member Application


Complete the form below to become a Member of the Network Professional Association. To submit this form using a printer or fax, click here. After completion of this form and any required payment, an email will deliver to you information to access NPA benefits. For assistance telephone 888-NPA-NPA0

Name: First Mi Last
Birth Date (mm/dd/yyyy)
Referred by:
 Referer NPA#

Type of membership
Professional Member ($175 US per year)
Member ($175 US per year)
Student ($35 US per year)
Executive ($1000 US per year)

For multiple membership registrations or items not listed contact the NPA Office.

Please select the chapter you would like to register with. You may attend any NPA chapter or event.
Provide valid email address for NPA communications here (required):
Email address
Periodically the NPA comes across great special offers and excellent useful information on products and services we believe will be helpful in the practice of networking. The NPA sends these network related special offers via electronic mail to our 3rd party opt-in email list. Offers include items such as discounts on events, special incentives on services, hardware/software discounts, and product information from various vendors.

Your email and contact information will never be directly provided to any vendor. The Network Professional Association (NPA) never sends unsolicited email. You will only receive 3rd party special offers email from the NPA because you opted-in to receive offers from carefully selected marketing partners. All email offers are clearly marked as originating from the NPA. All email includes the instructions to be removed from the 3rd party opt-in list.
Do you accept email information from third parties, the NPA Special Offers List?
I would like to be included in NPA directories: Yes No
Send Postal Mail to: Home Address     Work Address
Home Address
Address
 
City
State
Province
Zip
Country
Phone
Fax
Work Address
Address
 
City
State
Province
Zip
Country
Phone Ext.
Fax
Mobile/Cell
The following information is used in aggregate to provide a demographic profile of NPA membership. Contact the NPA office to get a current copy of this report.

EMPLOYMENT INFORMATION
Are you currently employed as a Network professional?   Years of experience
Title
Employer
Number of Employees
Servers responsible for
Nodes responsible for
Purchasing Authority in $US
Which best describes your job function: (check only one)
Network / LAN Management
MIS / DP / IS Management
Consulting
Systems/ Engineering / Integration
  		Administration / Management
Research / Development
Technical Service
Education / Training
Other
Describe your organization: (check only one)
Manufacturer
Government / Military
Non-profit / Trade Assn.
Consultant / Independent
VAR / VAD / VAN / Reseller
Retail / Wholesale Trade
Hospitality
Medical
Legal
  		Insurance / Real Estate
Finance / Banking
Transportation
Utilities
Education
Aerospace
Carriers
Business Services
Building / Construction Services
Other
What is your annual salary range
No answer
Under $20K
$20K - $40K
  		$41K - $60K
$61K - $80K
Over $80K

Please affirm you understanding of the NPA principles of ethics and privacy.

I Agree to be bound by the NPA Code of Ethics

I Understand the privacy statement