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National Association For Community Mediation
1527 New Hampshire Avenue, NW
Washington, DC 20036-1206
Phone: (202) 667-9700
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Please Print, Complete, and Mail Check Payment
AFFILIATED MEMBERSHIP APPLICATION
Name:
Address:
City:
State:
Zip:
Phone:
Fax:
E-mail:
Membership Fee:
Full-time Student $18
Friend $50 minimum
Peacemaker $500 minimum
Ambassador $1,000 minimum Today's Date:
Thank you!
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