Member Enrollment

Completion of this member enrollment form will register you an inactive account at Once we have processed your payment, reviewed your request and activated your account, you will receive notification by email.
  • Personal Info

  • Please let us know the organization with which we should identify your NLOMA membership.
  • Membership Info

  • This will be used as your login for the website.
  • Please enter a strong password. You will be able to enable two-factor authentication once your account is created.
    Strength indicator
  • To what level of membership are you enrolling this year?
  • Payment Details

  • Your payment of these registration dues will be securely processed through Stripe.
  • This field is for validation purposes and should be left unchanged.