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volume 1 issue 1                                                                    spring 2011The Magazine Dedicated to P...
MEMBERSHIP APPLICATION                                                                    Please print or type and return ...
National Bed Bug Association
National Bed Bug Association
National Bed Bug Association
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National Bed Bug Association

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National Bed Bug Association

  1. 1. volume 1 issue 1 spring 2011The Magazine Dedicated to Professionals in the Pest Management & Hospitality Industries Basics of bed bug detection Remediation... Hire a professional The bene t of being pro-active
  2. 2. MEMBERSHIP APPLICATION Please print or type and return application with payment to: NBBA 309 Lagrange Ave., Titusville, FL 32796 ph: 855-825-0001 fax: 321-267-0425 website: NBBAonline.comDateName ( rst) (last)Home Address City State ZipCompanyAddress City State ZipCountyPhone Cell FaxEmail WebsiteVerify Email WebsiteCheck one: Individual Canine/Handler Inspection Service Pest Management Co. Hotel/Motel Resort Healthcare Public Transportation Theater Apartment Complex Cruise Line OtherHow did you nd out about the NBBA? INTRODUCTORY PRICE Check# 1-5 ........................................... $195.00 Mastercard 6-15 .......................................... $275.00 Visa 16-50 ........................................ $375.00 American Express 51-100 ....................................... $450.00 Card# 100-200 ...................................... $575.00 Expiration Date 201-500 ...................................... $750.00 3 Digit Security Code (from rear of card) 1001-2000 ................................. $1150.00 Authorized Signature 2000-5000 .................................. $2150.00 over 5001................................ ask for quote Print Name on cardComplete if Applicable: Sponsor Name CompanyAddress City State Zip Note: NBBA dues are not deductable as a charitable contribution

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