Join NHAA

To either renew your membership or sign-up as a new member, please fill out the form below and click the "Submit Registration/Renewal" button when completed. Annual membership cost is $50.

Note: You may pay via check or online via PayPal - payment instructions will follow after you have filled in and submitted the form below. Required fields are shown as *bold.

*Member type:		New member Renewal
*Full name:
Title:
Degree:
W O R K	*Business Name:
	*Address:
	*City:
	*State:
	*Zip code:
	*Phone:
	Fax:
	*Email:
	Website:
H O M E	Address:
	City:
	State:
	Zip code:
	Phone:
	Fax:
	Email:
*Do you want your business listed in our online directory?		Yes No
*If yes, what region are you in?		Capital Region East Lakes Region North South West
*Do you want to receive meeting minutes by email?		Yes No
*If yes, email to?		Home Work
Questions/ comments: