NHRID Membership Application 2020
* Required
Email address
*
Your email
Name
*
Your answer
Mailing Address
*
Your answer
Phone number
Your answer
Check one of the following
*
Renewing Member
New Member
Type of Membership
*
Certified ($30)
Certified + NHAD ($42)
Associate ($30)
Associate + NHAD ($42)
Student ($25)
Student + NHAD ($37)
Supporting ($25)
Supporting + NHAD ($37)
Supporting Deaf Community Member ($10)
Supporting Deaf Community Member + NHAD ($22)
National RID Membership #
Your answer
Payment Method
*
I will pay by PayPal (Processing fee applies)
I will mail a check to: NHRID Membership, PO Box 5432, Manchester, NH 03108
Comments (If you have any questions, please email Becky at
nhridmembership@gmail.com
)
Your answer
A copy of your responses will be emailed to the address you provided.
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