Membership Dues using Zelle:

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Step 1. Fill in your membership information below and click Next to advance to the Photo Release Section. Review the Photo Release Statement and make your selection. Click Submit when you are done.

Step 2. Login to your Zelle App. (or the "Send money with Zelle" feature in your online banking account). Add the HIS Eastern Chapter email to your contacts (address below) and submit your $25.00 membership fee to:

hiseasternchapter@gmail.com

Name *

Address (Street) *

Address (City) *

Address (State) *

Address (Zip Code) *

Phone Number *

Email *

Membership Year *

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms