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:
• Cell Phone:
• Phone:
• *

  ARE YOU A NEW OR RENEWING MEMBER?

  • NEW
  • RENEWING
• NEW MEMBERS: How did you hear about NEARA and what are your shared interests?
• RENEWING MEMBERS: What year did you join NEARA and Why? (approx date is fine)

• Fee

  Type	Fee
  SINGLE / FULL PRINTED - Periodicals, Conference Announcements, and Renewal Info. Printed & Emailed	$60.00
  SINGLE / PRINTED NEARA JOURNALS ONLY - Everything else will be Emailed	$45.00
  SINGLE / PRINTED NEARA TRANSITS ONLY - Everything else will be Emailed	$35.00
  SINGLE / DIGITAL ONLY - Everything will be Emailed	$25.00
  *FAMILY / FULL PRINTED - Periodicals, Conference Announcements, and Renewal Info. Printed & Emailed	$70.00
  *FAMILY / PRINTED NEARA JOURNALS ONLY - Everything else will be Emailed	$55.00
  *FAMILY / PRINTED NEARA TRANSITS ONLY - Everything else will be Emailed	$45.00
  *FAMILY / DIGITAL ONLY - Everything will be Emailed	$35.00
  INTERNATIONAL / SINGLE DIGITAL ONLY - Everything will be Emailed	$25.00
  INTERNATIONAL / LIFETIME DIGITAL ONLY - Everything will be Emailed	$250.00
  *LIFETIME / FULL PRINTED - Periodicals, Conference Announcements, and Renewal Info. Printed & Email	$825.00
  *LIFETIME / PRINTED NEARA JOURNALS ONLY-Everything else will be Emailed	$475.00
  *LIFETIME / PRINTED NEARA TRANSITS ONLY-Everything else will be Emailed	$375.00
  *LIFETIME / DIGITAL ONLY - Everthing will be Emailed	$250.00
  *Enhanced / SPONSOR - Periodicals, Conference Announcements, and Renewal Info. Printed & Emailed	$100.00
  *Enhanced / BENEFACTOR - Periodicals, Conference Announcements, and Renewal Info. Printed & Emailed	$200.00

• *Family, Enhanced, and Lifetime Memberships - Please List your Household Family Members Here:

PAYING BY CREDIT CARD?

• If you are taking advantage of the convenience of paying with your credit card online, then please consider contributing to the 5.44% + .80 cents per transaction fee it now costs NEARA to offer this easy payment option. Just like most things these days, there was a rather significant rate hike in online payment processing fees. Thank you in advance for your consideration.