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Faculty Member Application




Yes, I wish to enroll as a Faculty member of the National Restaurant Association.

Dues: $111.00
(This is the prorated amount for the remaining months of 2009.)

Name _______________________________________________________

Title _______________________________________________________

Organization ________________________________________________

Address _____________________________________________________

City __________________________________State_____Zip __________

Telephone (with area code) ______________________________________

Fax _________________________________________________________

E-mail_______________________________________________________

Web site_____________________________________________________

Method of Payment

Terms: Net Cash
Please Indicate the Method of Payment You Prefer:
  • Check enclosed. Make check payable to the National Restaurant Association

  • Credit Card (please check one)
    • American Express
    • Discover
    • Visa
    • Diners Club
    • Mastercard

    Credit card number ____________________________________________

    Expiration date________________________________________________

    Your name as it appears on card__________________________________

    Billing Address (if different from above) ___________________________

    ____________________________________________________________

Make check payable to
National Restaurant Association
Dept. A-1307
1200 Seventeenth Street, NW
Washington DC 20036-3097
(202) 331-5900

I understand that Faculty membership in the National Restaurant Association is open only to full-time educators. As a full-time educator, I am eligible for membership in this category.

Signature ___________________________________Date _____________

For more information please call Member Solutions & Development (800) 424-5156.