HEAR Membership Request Form
Complete this form to request HEAR membership for the 2018 - 2019 year. Both new and returning members should complete this form. If you prefer a paper format, you may download this form on our website, http://www.roxborohomeeducators.org.

Please note, you will be asked later on in the form to accept the HEAR Statement of Faith. Please read it and all other governing documents thoroughly. Upon submitting this form, you are stating you will adhere to the guidelines set forth in these documents.

You must submit dues in the amount of $25.00 if paid in the month of August or $30 if paid thereafter.

Dues may be paid at Kickoff, TBA, at Antioch Baptist Church starting at 5:30 p.m.

Dues may also be mailed to HEAR PO Box 792, Roxboro, NC 27573.

Dues are per household, therefore HEAR membership (and dues) are for all who reside in your home.

Cash is acceptable or checks made payable to HEAR. Denote on your check that it is for membership, and if the name on the check is different than what you enter below, please submit a note with your check or denote in the memo line.

This year, you may pay your dues using PayPal. Send money to email@roxborohomeeducators.org as friend/family.

You may combine payment for other events with your membership dues. If you do so, please submit a note with your payment/check itemizing the payment amount for each.

Your membership will not be processed/approved until dues are received.

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