WHEREAS, that the Choctaw Tribal Council, which is the official ...
CB- 134 - 15
TO APPROVE MEMBERSHIP TO THE NATIONAL CONGRESS OF AMERICAN INDIANS
IN THE TRIBAL COUNCIL OF THE CHOCTAW NATION INTRODUCED A COUNCIL BILL A COUNCIL BILL
WHEREAS, the Choctaw Nation of Oklahoma wishes to become a Member Indian/ Native Government in Good
Standing
with
National Congress
of
American Indians ( NCAI),
and
WHEREAS, the Choctaw Nation of Oklahoma tribe meets all requirements for Tribal Membership, pursuant to Article II- Membership, Section B of the Constitution and Bylaws of NCAI, and
WHEREAS, that the Choctaw Tribal Council, which is the official governing body of the abovenamed nation, hereby authorizes the necessary action to place the nation in Membership with NCAI, and
NOW, THEREFORE BE IT RESOLVED, the Tribe shall pay a $ 25, 000.00 membership fee in accordance with NCAI By- Laws, and
BE IT FURTHER RESOLVED, that based on tribal enrollment table of 7, 501 and over membership, the Tribe shall have 180 votes.
NOW THEREFORE BE IT ENACTED by the Tribal Council of the Choctaw Nation of Oklahoma that this Act be cited as approval to place the Choctaw Nation of Oklahoma in Membership with NCAI. BE IT FINALLY ENACTED by the Tribal Council of the Choctaw Nation of Oklahoma designated the following persons as Delegate and Alternate Delegate( s) and instructs them to
become Individual Members in Good Standing with NCAI in order to fulfill their responsibilities as Official Delegates and Alternate Delegates to the National Congress of American Indians Annual Convention, Executive Council Winter Session
Delegate: Title: Alternate: Title:
rar3Rattan
Chief
of
the
Chnrtgw Natinn
p01ic
Mid- Year
nfererAe.
Signatur
Joshua Rilev P„ hlir
and
r
Gpecialist
Term Expiration Date: Signature:
Term Expiration Date:
Alternate:
Sara Jane Smallwood
Signature:
Title:
Director
Term Expiration Date:
of
Tribal = olir3'
CERTIFICATION
I, the undersigned, as Speaker of the Tribal Council of the Choctaw Nation of Oklahoma, do hereby certify that the Tribal Council is composed of twelve( 12) seats. Eight( 8) members must be present
to
constitute a quorum.
I further certify that
twelve( 12 ) members answered roll call
and that a quorum was present at the Regular Session of the Tribal Council at
Tuskahoma, Oklahoma on August 8, 2015. Ifurther certify that the foregoing Council Bill 134- 15
CB-
zero
was adopted at such
0 )
(
meeting
negative votes, and
e
eQ__, el, j!!
by
the
zero
affirmative vote (
0 )
of
( 12) members,
twelve
abstaining.
Cox, Speaker Choctaw Nation Tribal Council Choctaw
Thomas-Williston, Secretary Choctaw Nation Tribal Council
r)
'
Gary batgh, Chief Date
Choctaw Nation
of
Oklahoma
NATIONAL
CONGRESS
OF
AMERICAN
INDIANS
00
July 10, 2015
Re: 2015- 2016 NCAI Membership
J
`
Dear Tribal Leader:
EXECUTIVE COMMITTEE
I am honored to invite you to partner with us in the vital work of protecting and advancing
PRESIDENT Cladoosby
tribal sovereignty by becoming a 2015- 2016 member of the National Congress of American
Brian
SwinomishThbe
Indians ( NCAI).
FIRST VICE- PRESIDENT Randy Noka Narragansett Tribe
RECORDING SECRETARY Aaron Payment
Sault Ste. Mane Tribe Indians of Michigan
of
Chippewa
We are a membership-driven organization and our membership is a strong
representation of the many Native nations, villages, communities, and individuals that
constitute the wholeforof Indian Indian Country. As a unified voice, NCAI has been making a difference Count in
and
Country, and as a member you make an invaluable y
contribution to that voice.
TREASURER Arlan Melendez Reno Sparks Indian
Colony
REGIONAL VICEPRESIDENTS
ALASKA Jerry Isaac Native Village
of
Tanacross
Our membership plays a critical role in putting NCAI on the frontlines of the nation' s policy
debates that directly affect our sovereign rights. Congress and the Administration look to NCAI as Indian Country' s unified voice on our key national priorities. Together last year, we worked tirelessly on many fronts, including: 0
EASTERN OKLAHOMA S. Joe Crittenden Cherokee Nation
Protecting and Restoring Tribal Lands Asserting Tribal Tax Rights
Modernizing the Trust Relationship Enhancing our Public Safety and Emergency Management Tools
GREAT PLAINS Leander McDonald Spirit Lake Nation
Educating the General Public About Native Peoples
MIDWEST Roger Rader
PokagonbandofPofawatomi
NORTHEAST Lance Gu In dian Nation Indian
In 2016
we will face a number of new and on ongoing oin challenges. NCAI strives to ensure g
that all member tribes and individuals are informed about all such issues affecting the
well-being of Indian nations. As a member of NCAI, you will receive:
NORTHWEST Fawn
Sharp
Quinault Indian Nation
0
Rosemary
Access to NCAI-produced documents, Regular legislative reports,
PACIFIC Morillo
Soboba Band of Luiseno Indians ROCKY MOUNTAIN
Ivan Posey
0
Weekly broadcasts and other legislative and action alerts, And the ability to cast tribal votes at NCAI' s conferences.
Shoshone Tribe
SOUTHEAST Ron Richardson
There is no better investment than being an active dues-paying member of NCAI. Enclosed
Haliwa- Saponi Indian Tribe
you will find the 2015- 2016 Membership information and application packet. This tribal
SOUTHERN PLAINS
membership will commence at our 72nd Annual Convention in San Diego, CA on October
Stephen Smith Kiowa Tribe
Ii
18- 23, 2015.
SOUTHWEST Manuel Heart Ute Mountain Lite Tribe
If you have questions or require additional information, please contact Bernida Humetewa,
Outreach Director at ( 505) 867- 0203 or bhumetewana,ncai.or_g. We look forward to working
WESTERN Len George
Fallon Paiute Shoshone Tribe
EXECUTIVE DIRECTOR Jacqueline Johnson Pata Tlingit
with you this coming year!
Sincerely,
NCAIHEADQUARTERS 1516 P Street, N. W. Washington, DC 20005 202. 466. 7767 202. 466. 7797 fax www, ncai.
org
Jacqueline Johnson Pata Executive Director National Congress
of
American Indians
National Congress of American Indian s g 2015 -
2016 INDIVIDUAL MEMBERSHIP APPLICATION
YES! I support the continuing work and purpose of the National Congress of American Indians and I want to become a Member in good standing
40
Individual Indian Member
One Vote, NCAI Broadcasts and Alerts sent to One E- Email- OR- to One Fax Number, Publications, and Reduced
Conference Rates
I
F_ 1$ 40
Individual Associate Member
Non-Voting, NCAI Broadcasts and Alerts sent to Two E- Mail- OR- to One Fax Number, Publications, and Reduced
Conference Rates
500
Organization Associate Member
Non- Voting, NCAI Broadcasts and Alerts sent to Two E- Mail- OR- to One Fax Number,Publications, and Reduced
Conference Rates for two
1, 000 Individual Indian LIFETIME Member
Lifetime Voting, NCAI Broadcasts and Alerts sent to One E- mail- OR- to One Fax Numbers, Publications, Reduced Conference Rates and a Lifetime Memebership Card 1, 000 Individual Associate LIFETIME Member
Non-Voting, NCAI Broadcasts and Alerts sent to One E- Mail- OR- to One Fax Numbers, Publications, Reduced Conference Rates and a Lifetime Membership Card
Membership will commence after the 72ndAnnual Convention- October 18- 23, 2015. Membership is not transferable and maybe used only by the person whose name is printed on this form. NCAI is a voluntary membership organization and membership in NCAI does not
determine status as a member ofany American Indian or Alaska Native Tribe. I– — — — — — —
I AM INCLUDING A TAX DEDUCTIBLE DONATION OF: 100 0 $
50
Name: —
—
—
—
—
—
250
—
—
—
—
500
—
—
—
Other
—
—
—
—
—
—
—
N
a u. a
Title: * Tribe/ Tribal
Affiliation/ Organization:
Address:
a *City: C*
5
at
Zip:
Telephone:
E- Mail Address: Please
configure your spam
filter to
allow
NCAI electronic Broadcasts& Alerts)
For Organization Associate Membership Use Only: E- mail Address# 2: Website:
PAYMENT INFORMATION
Enclosed is a Check or Money Order[ Mail to: NCAI, 1516 P Street NW, Washington, DC 200051 To pay by credit card please call Kristen Pratt at 202- 466- 7767 NCAI STAFF USE ONLY[ Please do not write in this area] Payment Received:$
Date:
Received By:
Credit Card Authorization Number:
For more information
Check#:
contact
NCAI
at
202-466- 7767.
1
N ational Con g ress
1=
American an Indians
of
2015 - 2016 TRIBAL MEMBERSHIP
CREDENTIAL PROCESS
NCAI Membership is made up of Tribes and Individuals who have met the eligibility criteria and the payment of dues as outlined in Article III of the NCAI By-Laws. Annual membership dues shall be due and payable at the Annual Convention of each year. All members are determined to be in good standing upon full payment of tribal dues. To become a Member Tribe in good standing, please complete these important steps: 1.
Submit the attached Tribal Membership Application.
2.
Submit a current year Tribal Resolution for membership by re-typing the attached template on your Tribal letterhead.
3.
Submit the attached Individual membership Application.
4.
Mail all of the above- referenced documents along with your payment to: National Congress of American Indians 1516 P Street NW Washington, DC 20005
Articles from the National Congress of American Indians
Constitution and By- Laws applicable to the Membership Process: Article III: MEMBERS Section B: Tribal
Membership
Any Tribe, band
or
Article III: MEMBERS
Section C: Dues -
identifiable group of American Indians or Alaska Natives shall
be
eligible
provided
it
shall
for tribal membership fulfill all the following
A
substantial number of
its
members
reside upon the same reservation or,
in
the absence of a reservation in the same general
locality;
In accordance with the Section B 1d: Votes
following table:
Each individual member is entitled to one vote. Each member tribe is entitled
Income
$
requirements:
1.
Article III: MEMBERS
$
$ $
Dues
30
million or over
20
million to$
to 100- 180 votes, depending upon the
25, 000
enrollment of the Tribe. Each member
$
15, 000
10 million to$ 20 million
$
10, 000
Tribe shall vote in accordance with the following table:
5
$
million
30
million
to$ 10 million
5,500
1 million to$ 5 million
$
1, 100
500,000 to$ 1
$
550
million
0 to$ 500,000
110
Tribal Enrollment
Up to& including 501 to 1500
2. It
maintains a tribal organization,
with regular officers and of
transacting business
at a
reasonably
the means
and
arriving
accurate count of
If
revenue exceeds$
please consider
dues
60
million
increasing
as a contribution to
NCAI.
its
membership; 3. It is
not a mere offshoot or
your
fraction
120
130
3501 to 4500
140
4501 to 5500
150
5501 to 6500
160
6501 to 7500
170
membership; and
4. It is recognized as a Tribe or other
identifiable group of American Indians
or Alaska Natives by the Department of the Interior, Court of Claims, the Indian Claims Commission, or a State. NCAI
at
100 110
1501 to 2500
over
contact
500
2501 to 3500
of an organized Tribe, itself eligible for
For more information
Number of Votes
202- 466- 7767.
7500
180
National Congress of American Indians ans 2015 -
2016 TRIBAL MEMBERSHIP APPLICATION NEW MEMBERSHIP
MEMBERSHIP RENEWAL
TRIBAL DUES AMOUNT:$ TRIBE:
TITLE/ TRIBAL LEADERADDRESS: CITY:
STATE:
ZIP:
PHONE:
FAX:
E- MAIL:
GENERAL TRIBAL E- MAIL: WEBSITE:
Tribal Membership provides Broadcasts and Alerts to two [21 E Mail Addresses:[ Please print clearly] Name:
E- mail# 1:
Name:
E- mail# 2:
Please configure your spam filter to allow for NCAI electronic broadcasts and alerts] v
o
e
_
® e
—
—
_
_
—
—
®
_
CHECK#
1- 1 Enclosed is a check or money order payable to the National Congress of American Indians TO PAY BY CREDIT CARD: Please call Kristen Pratt at( 202) 466-7767 NCAI STAFF USE ONLY[ Please do not write in this area] Payment Received:$
Date:
Received By
Credit Card Authorization Number:
For
more
Check#:
information
contact
NCAI
at
202- 466- 7767.
_
_
_
TO APPROVE MEMBERSHIP TO THE NATIONAL CONGRESS OF AMERICAN INDIANS
IN THE TRIBAL COUNCIL OF THE CHOCTAW NATION INTRODUCED A COUNCIL BILL A COUNCIL BILL
WHEREAS, the Choctaw Nation of Oklahoma wishes to become a Member Indian/ Native Government in Good
Standing
with
National Congress
of
American Indians ( NCAI),
and
WHEREAS, the Choctaw Nation of Oklahoma tribe meets all requirements for Tribal Membership, pursuant to Article II- Membership, Section B of the Constitution and Bylaws of NCAI, and
WHEREAS, that the Choctaw Tribal Council, which is the official governing body of the abovenamed nation, hereby authorizes the necessary action to place the nation in Membership with NCAI, and
NOW, THEREFORE BE IT RESOLVED, the Tribe shall pay a $ 25, 000.00 membership fee in accordance with NCAI By- Laws, and
BE IT FURTHER RESOLVED, that based on tribal enrollment table of 7, 501 and over membership, the Tribe shall have 180 votes.
NOW THEREFORE BE IT ENACTED by the Tribal Council of the Choctaw Nation of Oklahoma that this Act be cited as approval to place the Choctaw Nation of Oklahoma in Membership with NCAI. BE IT FINALLY ENACTED by the Tribal Council of the Choctaw Nation of Oklahoma designated the following persons as Delegate and Alternate Delegate( s) and instructs them to
become Individual Members in Good Standing with NCAI in order to fulfill their responsibilities as Official Delegates and Alternate Delegates to the National Congress of American Indians Annual Convention, Executive Council Winter Session
Delegate: Title: Alternate: Title:
rar3Rattan
Chief
of
the
Chnrtgw Natinn
p01ic
Mid- Year
nfererAe.
Signatur
Joshua Rilev P„ hlir
and
r
Gpecialist
Term Expiration Date: Signature:
Term Expiration Date:
Alternate:
Sara Jane Smallwood
Signature:
Title:
Director
Term Expiration Date:
of
Tribal = olir3'
CERTIFICATION
I, the undersigned, as Speaker of the Tribal Council of the Choctaw Nation of Oklahoma, do hereby certify that the Tribal Council is composed of twelve( 12) seats. Eight( 8) members must be present
to
constitute a quorum.
I further certify that
twelve( 12 ) members answered roll call
and that a quorum was present at the Regular Session of the Tribal Council at
Tuskahoma, Oklahoma on August 8, 2015. Ifurther certify that the foregoing Council Bill 134- 15
CB-
zero
was adopted at such
0 )
(
meeting
negative votes, and
e
eQ__, el, j!!
by
the
zero
affirmative vote (
0 )
of
( 12) members,
twelve
abstaining.
Cox, Speaker Choctaw Nation Tribal Council Choctaw
Thomas-Williston, Secretary Choctaw Nation Tribal Council
r)
'
Gary batgh, Chief Date
Choctaw Nation
of
Oklahoma
NATIONAL
CONGRESS
OF
AMERICAN
INDIANS
00
July 10, 2015
Re: 2015- 2016 NCAI Membership
J
`
Dear Tribal Leader:
EXECUTIVE COMMITTEE
I am honored to invite you to partner with us in the vital work of protecting and advancing
PRESIDENT Cladoosby
tribal sovereignty by becoming a 2015- 2016 member of the National Congress of American
Brian
SwinomishThbe
Indians ( NCAI).
FIRST VICE- PRESIDENT Randy Noka Narragansett Tribe
RECORDING SECRETARY Aaron Payment
Sault Ste. Mane Tribe Indians of Michigan
of
Chippewa
We are a membership-driven organization and our membership is a strong
representation of the many Native nations, villages, communities, and individuals that
constitute the wholeforof Indian Indian Country. As a unified voice, NCAI has been making a difference Count in
and
Country, and as a member you make an invaluable y
contribution to that voice.
TREASURER Arlan Melendez Reno Sparks Indian
Colony
REGIONAL VICEPRESIDENTS
ALASKA Jerry Isaac Native Village
of
Tanacross
Our membership plays a critical role in putting NCAI on the frontlines of the nation' s policy
debates that directly affect our sovereign rights. Congress and the Administration look to NCAI as Indian Country' s unified voice on our key national priorities. Together last year, we worked tirelessly on many fronts, including: 0
EASTERN OKLAHOMA S. Joe Crittenden Cherokee Nation
Protecting and Restoring Tribal Lands Asserting Tribal Tax Rights
Modernizing the Trust Relationship Enhancing our Public Safety and Emergency Management Tools
GREAT PLAINS Leander McDonald Spirit Lake Nation
Educating the General Public About Native Peoples
MIDWEST Roger Rader
PokagonbandofPofawatomi
NORTHEAST Lance Gu In dian Nation Indian
In 2016
we will face a number of new and on ongoing oin challenges. NCAI strives to ensure g
that all member tribes and individuals are informed about all such issues affecting the
well-being of Indian nations. As a member of NCAI, you will receive:
NORTHWEST Fawn
Sharp
Quinault Indian Nation
0
Rosemary
Access to NCAI-produced documents, Regular legislative reports,
PACIFIC Morillo
Soboba Band of Luiseno Indians ROCKY MOUNTAIN
Ivan Posey
0
Weekly broadcasts and other legislative and action alerts, And the ability to cast tribal votes at NCAI' s conferences.
Shoshone Tribe
SOUTHEAST Ron Richardson
There is no better investment than being an active dues-paying member of NCAI. Enclosed
Haliwa- Saponi Indian Tribe
you will find the 2015- 2016 Membership information and application packet. This tribal
SOUTHERN PLAINS
membership will commence at our 72nd Annual Convention in San Diego, CA on October
Stephen Smith Kiowa Tribe
Ii
18- 23, 2015.
SOUTHWEST Manuel Heart Ute Mountain Lite Tribe
If you have questions or require additional information, please contact Bernida Humetewa,
Outreach Director at ( 505) 867- 0203 or bhumetewana,ncai.or_g. We look forward to working
WESTERN Len George
Fallon Paiute Shoshone Tribe
EXECUTIVE DIRECTOR Jacqueline Johnson Pata Tlingit
with you this coming year!
Sincerely,
NCAIHEADQUARTERS 1516 P Street, N. W. Washington, DC 20005 202. 466. 7767 202. 466. 7797 fax www, ncai.
org
Jacqueline Johnson Pata Executive Director National Congress
of
American Indians
National Congress of American Indian s g 2015 -
2016 INDIVIDUAL MEMBERSHIP APPLICATION
YES! I support the continuing work and purpose of the National Congress of American Indians and I want to become a Member in good standing
40
Individual Indian Member
One Vote, NCAI Broadcasts and Alerts sent to One E- Email- OR- to One Fax Number, Publications, and Reduced
Conference Rates
I
F_ 1$ 40
Individual Associate Member
Non-Voting, NCAI Broadcasts and Alerts sent to Two E- Mail- OR- to One Fax Number, Publications, and Reduced
Conference Rates
500
Organization Associate Member
Non- Voting, NCAI Broadcasts and Alerts sent to Two E- Mail- OR- to One Fax Number,Publications, and Reduced
Conference Rates for two
1, 000 Individual Indian LIFETIME Member
Lifetime Voting, NCAI Broadcasts and Alerts sent to One E- mail- OR- to One Fax Numbers, Publications, Reduced Conference Rates and a Lifetime Memebership Card 1, 000 Individual Associate LIFETIME Member
Non-Voting, NCAI Broadcasts and Alerts sent to One E- Mail- OR- to One Fax Numbers, Publications, Reduced Conference Rates and a Lifetime Membership Card
Membership will commence after the 72ndAnnual Convention- October 18- 23, 2015. Membership is not transferable and maybe used only by the person whose name is printed on this form. NCAI is a voluntary membership organization and membership in NCAI does not
determine status as a member ofany American Indian or Alaska Native Tribe. I– — — — — — —
I AM INCLUDING A TAX DEDUCTIBLE DONATION OF: 100 0 $
50
Name: —
—
—
—
—
—
250
—
—
—
—
500
—
—
—
Other
—
—
—
—
—
—
—
N
a u. a
Title: * Tribe/ Tribal
Affiliation/ Organization:
Address:
a *City: C*
5
at
Zip:
Telephone:
E- Mail Address: Please
configure your spam
filter to
allow
NCAI electronic Broadcasts& Alerts)
For Organization Associate Membership Use Only: E- mail Address# 2: Website:
PAYMENT INFORMATION
Enclosed is a Check or Money Order[ Mail to: NCAI, 1516 P Street NW, Washington, DC 200051 To pay by credit card please call Kristen Pratt at 202- 466- 7767 NCAI STAFF USE ONLY[ Please do not write in this area] Payment Received:$
Date:
Received By:
Credit Card Authorization Number:
For more information
Check#:
contact
NCAI
at
202-466- 7767.
1
N ational Con g ress
1=
American an Indians
of
2015 - 2016 TRIBAL MEMBERSHIP
CREDENTIAL PROCESS
NCAI Membership is made up of Tribes and Individuals who have met the eligibility criteria and the payment of dues as outlined in Article III of the NCAI By-Laws. Annual membership dues shall be due and payable at the Annual Convention of each year. All members are determined to be in good standing upon full payment of tribal dues. To become a Member Tribe in good standing, please complete these important steps: 1.
Submit the attached Tribal Membership Application.
2.
Submit a current year Tribal Resolution for membership by re-typing the attached template on your Tribal letterhead.
3.
Submit the attached Individual membership Application.
4.
Mail all of the above- referenced documents along with your payment to: National Congress of American Indians 1516 P Street NW Washington, DC 20005
Articles from the National Congress of American Indians
Constitution and By- Laws applicable to the Membership Process: Article III: MEMBERS Section B: Tribal
Membership
Any Tribe, band
or
Article III: MEMBERS
Section C: Dues -
identifiable group of American Indians or Alaska Natives shall
be
eligible
provided
it
shall
for tribal membership fulfill all the following
A
substantial number of
its
members
reside upon the same reservation or,
in
the absence of a reservation in the same general
locality;
In accordance with the Section B 1d: Votes
following table:
Each individual member is entitled to one vote. Each member tribe is entitled
Income
$
requirements:
1.
Article III: MEMBERS
$
$ $
Dues
30
million or over
20
million to$
to 100- 180 votes, depending upon the
25, 000
enrollment of the Tribe. Each member
$
15, 000
10 million to$ 20 million
$
10, 000
Tribe shall vote in accordance with the following table:
5
$
million
30
million
to$ 10 million
5,500
1 million to$ 5 million
$
1, 100
500,000 to$ 1
$
550
million
0 to$ 500,000
110
Tribal Enrollment
Up to& including 501 to 1500
2. It
maintains a tribal organization,
with regular officers and of
transacting business
at a
reasonably
the means
and
arriving
accurate count of
If
revenue exceeds$
please consider
dues
60
million
increasing
as a contribution to
NCAI.
its
membership; 3. It is
not a mere offshoot or
your
fraction
120
130
3501 to 4500
140
4501 to 5500
150
5501 to 6500
160
6501 to 7500
170
membership; and
4. It is recognized as a Tribe or other
identifiable group of American Indians
or Alaska Natives by the Department of the Interior, Court of Claims, the Indian Claims Commission, or a State. NCAI
at
100 110
1501 to 2500
over
contact
500
2501 to 3500
of an organized Tribe, itself eligible for
For more information
Number of Votes
202- 466- 7767.
7500
180
National Congress of American Indians ans 2015 -
2016 TRIBAL MEMBERSHIP APPLICATION NEW MEMBERSHIP
MEMBERSHIP RENEWAL
TRIBAL DUES AMOUNT:$ TRIBE:
TITLE/ TRIBAL LEADERADDRESS: CITY:
STATE:
ZIP:
PHONE:
FAX:
E- MAIL:
GENERAL TRIBAL E- MAIL: WEBSITE:
Tribal Membership provides Broadcasts and Alerts to two [21 E Mail Addresses:[ Please print clearly] Name:
E- mail# 1:
Name:
E- mail# 2:
Please configure your spam filter to allow for NCAI electronic broadcasts and alerts] v
o
e
_
® e
—
—
_
_
—
—
®
_
CHECK#
1- 1 Enclosed is a check or money order payable to the National Congress of American Indians TO PAY BY CREDIT CARD: Please call Kristen Pratt at( 202) 466-7767 NCAI STAFF USE ONLY[ Please do not write in this area] Payment Received:$
Date:
Received By
Credit Card Authorization Number:
For
more
Check#:
information
contact
NCAI
at
202- 466- 7767.
_
_
_
