NEARA MEMBERSHIP REGISTRATION

• Nickname (AKA):

CONTACT INFORMATION

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Address 1:
• Address 2:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• ZIP Code:
• Province:
• Country: --Choose-- United States Canada -------------- Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, Democratic Republic of Cook Islands Costa Rica Cote D'Ivoire Croatia Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guyana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French Part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch Part) Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
• Cell Phone:
• Phone:
• *

  ARE YOU A NEW OR RENEWING MEMBER

  • NEW
  • RENEWING

• **INTERNATIONAL MEMBERSHIPS ARE ONLY AVAILABLE IN DIGITAL FORMAT**

• Fee

  Type	Fee
  SINGLE - DIGITAL ONLY - Everything will be emailed	$20.00
  SINGLE - PRINTED NEARA JOURNAL ONLY - Everything else will be emailed	$35.00
  SINGLE - FULL PRINTED - Everything Printed (includes email version as well)	$45.00
  FAMILY - DIGITAL ONLY - Everything will be emailed	$25.00
  FAMILY - PRINTED NEARA JOURNAL ONLY - Everything else will be emailed	$40.00
  FAMILY - FULL PRINTED - Everything Printed (includes email version as well)	$50.00
  **INTERNATIONAL - SINGLE DIGITAL ONLY - Everything will be emailed	$20.00
  **INTERNATIONAL - LIFETIME DIGITAL ONLY - Everything will be emailed	$225.00
  LIFETIME - DIGITAL ONLY - Everthing will be emailed	$225.00
  LIFETIME - PRINTED NEARA JOURNAL ONLY - Everything else will be emailed	$375.00
  LIFETIME - FULL PRINTED - Everything Printed (includes email version as well)	$500.00
  Enhanced Sponsorship - PATRON (printed & email version)	$50.00
  Enhanced Sponsorship - SPONSOR (printed & email version)	$75.00
  Enhanced Sponsorship - BENEFACTOR (printed & email version)	$100.00

MEMBER INFORMATION

• NEW MEMBERS: How did you hear about NEARA and what are your shared interests?
• RENEWING MEMBERS: What year did you join NEARA? Approx is okay. You can disregard if you had done this in the past.

PLEASE CONSIDER THIS:

• If you are taking advantage of this convenient online registration then please consider contributing to the 4% fee it costs NEARA to offer this. As a non-profit association we operate solely on the generosity of our members and welcome any donations that will support our cause.