THE NEVADA TRAVERSE - Nevada Association of Land Surveyors

Name:
Firm/Employer: Business Phone:
Mailing Address: Fax:
City: State: Zip: Home Phone:
Mailing Address is: o Business o Residence Email:
Other Professional Registrations: PLS Number (if applicable):
STATE ASSOCIATION MEMBERSHIP: Add your Initiation Fee amount to
the Annual Dues amount and enter the sum in the TOTAL AMOUNT column.
o REGULAR MEMBER: Any person holding registration as a Professional Land Surveyor in
the State of Nevada.
o L.S.I. MEMBER: Any person holding a certificate as a Land Surveyor Intern in the State
of Nevada
o ASSOCIATE MEMBER: Any person who, in their profession, relies upon the fundamentals
of land surveying and is sponsored by a Regular Member of the Association.*
o CORRESPONDING MEMBER: Any person holding registration as a professional land
surveyor in another state, and who desires to receive correspondence from the Association,
including The Nevada Traverse.
o STUDENT MEMBER: Any person who is a student in a college or university and is
actively pursuing a survey-related education, and is sponsored by a Regular Member of
the Association.*
o SUSTAINING MEMBER: Any individual, company, or firm who by their interest in the land
surveying profession is desirous of supporting the purposes and objectives of the Association.
o ADD REINSTATEMENT FEE (only if applicable)
CHAPTER MEMBERSHIP: Chapter membership is encouraged, but not
mandatory. To be a chapter member, you must also be a State Association
member. Find you chapter dues below by selecting the amount shown to the
right of your Membership Grade in the State Association.
PAYMENT INFORMATION
Nevada Association of Land Surveyors
P.O. Box 20522 • Reno, NV 89515
2012
Ph: 702.624.NALS (6257) • www.nv-landsurveyors.org
(Effective January 2012)
APPLICATION FOR MEMBERSHIP
o LAHONTAN CHAPTER: Northwestern Nevada (Reno/Carson) Regular Members
(no charge for Student Members) Associate and L.S.I Members
o GREAT BASIN CHAPTER: Northeastern Nevada (Elko) Regular Members
(no charge for Student Members) Associate and L.S.I Members
o SOUTHERN NEVADA CHAPTER: Regular Members
(no charge for Student Members) Associate and L.S.I Members
o CHECK ENCLOSED
o CREDIT CARD - To renew by credit card, please visit our website at www.nv-landsurveyors.org (renewal via paypal)
*Associate and Student Member Applicants must be sponsored by a Regular Member of the Association.
Name of Sponsoring Member:________________________________________________________________
Applicant’s Signature: Date:
Initiation
Fee
$ 25.00
$ 25.00
$ 25.00
$ 25.00
$ 0.00
$ 50.00
Annual
Dues
$ 115.00
$ 60.00
$ 60.00
$ 60.00
$ 25.00
$ 195.00
$ 10.00
$ 35.00
$ 15.00
$ 30.00
$ 20.00
$ 35.00
$ 20.00
TOTAL AMOUNT TO BE REMITTED:
Please Note: A $ 3 transaction fee will be applied for all credit card transactions
Total
Amount
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$ ______
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