2021 FMS NGA Independent Grocers Financial Survey Order Form

Are you a member of NGA?

Are you a member of any state association? If so which: Are you a member of any state association? If so which:

NGA/FMS Clients $100.00

Non NGA/FMS Clients $450.00

*Some discounts may apply for member state associations

How would you like to pay? *

Check

Credit Card

Email Address: *

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

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