Welcome to the National Association of Social Workers – Missouri Chapter, the premier social work organization, representing 2600 professionally degreed social workers across Missouri. 

25% off Subscription of the Chapter’s official newspaper, The Missouri News, with recognition as a NASW-Missouri Chapter Supporting Organization’s Program Gold Level Member. 
Retail Value: $65.00/year 

25% off Link with NASW-Missouri Chapter’s official website. 
Retail Value: $100.00/year 

25% off on exhibition at NASW-Missouri Chapter’s annual conference. This includes recognition in all registration materials and conference brochures.
Savings: $43.75 (off non-profit rate) $62.50 (off for-profit rate)

25% off one registrant at NASW-Missouri Chapter’s annual conference.
Savings: $87.50 (off member rate) $100.00 (off non-member rate) 

25% off 1/4 page advertisement in the Chapter’s official newspaper, The Missouri News. 
Savings: $25.00 (off black & white rate) $31.25 (off color rate)  

Total Retail Value: $790.00-940.00
NASW-Missouri Chapter Supporting Organization Silver Level Member Cost: $500.00 
Annual Savings: $290.00-440.00! 

Your cost to participate in NASW-Missouri Chapter Supporting Organization’s Program at the SILVER Level is only $500.00 a year. With a retail value of $790.00-940.00 a year, we offer a significant savings to our Supporting Organization Program members! 

NASW-MISSOURI CHAPTER SUPPORTING ORGANIZATIONS APPLICATION FORM

Thank you for participating in NASW-Missouri Chapter’s Supporting Organizations Program (SOP). Please provide the information requested and submit this form along with your payment to the address listed below.

ORGANIZATION INFORMATION

Name of Organization:________________________________________________________________

Address:___________________________________________________________________________

City:___________________________________________ State:__________ Zip Code:___________

Phone Number:________________________________ Fax Number:__________________________

Web Address:______________________________________________________________________

CONTACT INFORMATION

The primary contact is the recipient of participant information. The secondary name is for contact purposes only.

Primary Contact Name:__________________________________ Title:________________________

Address (if different from above):________________________________________________________

City:__________________________________________ State:___________ Zip Code:___________

Phone Number:________________________________ Fax Number:__________________________

E-Mail Address:_____________________________________________________________________

Secondary Contact Name:_________________________________ Title:________________________

Address (if different from above):________________________________________________________

City:___________________________________________ State:___________ Zip Code:___________

Phone Number:_________________________________ Fax Number:__________________________

E-Mail Address:______________________________________________________________________

PARTICIPANT LEVEL OPTIONS:(circle one)       GOLD ($700.00)      SILVER ($500.00)

PAYMENT INFORMATION

_____ Payment by check.(Please make your check payable to NASW-Missouri Chapter)

_____ Payment by credit card.(circle one)   VISA     Mastercard     Discover     American Express

Credit Card#:___________________________________________ Exp.Date:___________________

Name on Card:_____________________________________________________________________

Cardholders Signature:_______________________________________________________________