NHRID Membership Application 2020

Name *

Your answer

Mailing Address *

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Phone number

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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)

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)

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