2020 KAE4-HA Membership Registration
Complete this quick Google Form and then you can bring your check to Annual Conference to the KAE4-HA Meeting.  We will draw for one free membership during our meeting, you just need to have your check turned in at that time.  Payment is  due Tuesday October 22 at the KAE4-HA Meeting.

After Annual Conference, dues can also be mailed to Lindsey Mueting, KAE4-HA Treasurer, McPherson County Extension
600 W. Woodside, McPherson, KS 67460-3239   Dues will go up to $125 after December 1, 2019.

Full, New and Life Members: Please visit: https://nae4ha.com/login.aspx to create a new profile or update your current information for NAE4-HA. Select Bill Me (Invoice) option if you are asked to pay online!

Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Title *
Extension Unit *
Personal Cell Phone
Work Cell Number
user name
Email Address *
Years of Service as of January 1, 2020 *
Have you recieved the ASA Award? *
Have you recieved the DSA Award? *
Have you recieved the MSA Award? *
Years as an NAE4-HA Member? *
Membership Category
choose one
Clear selection
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy