Nigerian Information Technology Professionals in America

NITPA Membership Application:

Qualification:
All members of the organization shall be Nigerian IT professionals or non-IT professionals with interest in Information Technology, or non-Nigerians with interest in Nigerian IT development and application.

Please fill out the provided form below or download and mail the form, click here. We will contact you, to confirm membership. Please send membership fee within 30 days to:

NITPA Headquarters
P.O Box 2397
Silver Spring, MD 20915

I. YOUR PROFILE

Names:

Organizational Affiliation

Position

Professional Title (if any)

Address

City:

State:

Zip Code:

Email:

II. Type of Membership Applying for: (Select one)

1. Individual

($150.00 Membership Fee)

2. Corporate

($500.00 Membership Fee)
Name of Corporation:

3. Sponsor

($1000+ Sponsorship Donation
Name of Sponsor:

4. Student

($50.00 Membership Fee
Name of Institution:

III. YOUR INTEREST:
Which NITPA Task Force are you interested in Joining: (See Brochure for details)

1. Education and Research Task Force:
2. Consulting Task Force:
3. IT Development Task Force:
4. Telecommunications/ Network Task Force
5. Applications Task Force

IV. Recommendation for Membership
Do you have any colleagues you wish to recommend for membership, list them below

Name:	Email:
Name:	Email:
Name:	Email:
Name:	Email:
Name:	Email:

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