NELA Membership: Online Order Form

Product Description	Cost
1 year NELA membership	$20.00

Nela Card Number (for renewals):
If you are renewing, and do not have your membership card number, please enter lost for the card number.

Name/Scene Name as it should appear on your card:

Demographic Information (Optional)

Age: Not Given 18-29 30-39 40-49 50-59 60+

Gender: Not Given Male Female Transgender Other

Orientation: Not Given Bisexual Gay/Lesbian Heterosexual Pansexual

Check off any appropriate statements:
I would like to help with the Fetish Fair Fleamarket
I would like to help with the Scarlet Leather
I would like to work on education and outreach to the non kinky community
I would like to work on internal outreach to fellow kinksters
I would like to present my expertise at a demonstration/class.

Your card will be mailed to you, at the address specified as your shipping address.

(Note that when you press 'Submit Order', you will be directed to a payment page at plugnpay.com.)

Once payment has been submitted, you should keep a copy of your payment confirmation email, which is good for getting all associate benefits until you get your card.

Return to NELA Home page - Note that your order will not be submitted unless you press 'Submit Order'.