NALFO is comprised of member organizations that have chapters and entities across six regions in the United States. The regions are:
Alaska, Washington, Oregon, California, Idaho, Nevada, Arizona, Utah and Hawaii
Montana, Wyoming, Colorado, New Mexico, North Dakota, South Dakota, Nebraska, Kansas, Oklahoma and Texas
Minnesota, Iowa, Missouri, Wisconsin, Illinois, Indiana, Kentucky, Michigan and Ohio
Arkansas, Louisiana, Mississippi, Tennessee, Alabama, North Carolina, South Carolina, Georgia, Florida and Puerto Rico
Pennsylvania, West Virginia, Maryland, Delaware, Virginia, and the District of Columbia
Maine, New Hampshire, New Jersey, Vermont, Massachusetts, Rhode Island, Connecticut and New York