NHLA Membership Form

Company Name: Contact Name: Title: Email Address: Address: Address 2: City, State - Zip: County:
A $0.50 per room surcharge will apply. Telephone: Fax:

Type of Business: Corporation Individual Partnership

Type of Property: Resort/Casino Casino (only) Hotel Motel Other

Membership Classification and Annual Dues

Property Information

Property Name: Telephone: City: Number of Rooms: Toll Free: Website:

Facilities: Swimming Pool On-site Restaurants On-site Bars Casino Showroom Pets Allowed Non-Smoking Rooms Youth Facilities

After submitting the form, an associate will contact you to process your application.

To have an associate contact you to complete your application, please click Send below.
To pay online, click Online Payment.