NHRID Membership Application 2022

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Email *

Name *

Mailing Address *

Phone number

Check one of the following *

Renewing Member

New Member

Please read below before continuing to the next question

** Certified, Associate and Student members must also be a member of national RID in good standing. If you are not a member of RID, please select “Supporting” or “Supporting Deaf Community Member” as your membership level. **

Type of Membership *

Certified ($30)

Certified + NHAD ($42)

Associate ($30)

Associate + NHAD ($42)

Student ($25)

Student + NHAD ($31)

Supporting ($25)

Supporting + NHAD ($37)

Supporting Deaf Community Member ($10)

Supporting Deaf Community Member + NHAD ($22)

National RID Membership #

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)

A copy of your responses will be emailed to the address you provided.

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