New Horizons International Music Association

Use this on-line membership application form for NEW individual, couple or group membership in the New Horizons International Music Association. You are welcome to include a donation with your membership if you wish.

Instructions:

Complete the entire form by filling in all applicable fields.
For group memberships, be sure to check the Group Membership checkbox.
For any membership type, you must submit the membership application form AND complete the payment process through PayPal (you can use a major credit card or a PayPal account) in order for the membership application process to be complete.

** = Required Fields

For Group Membership Only: Check here and fill in the Member Information of the contact person for the group. This contact person will receive all publications and general correspondence from NHIMA for this group membership. Note: This person’s information will be published. If privacy is a concern, contemplate using a different mailing address, e-mail address, or other information.

Director(s) (Group memberships):

Individual or Couple Information or Group Contact Information (if this is a group membership application):
** Your Name(s):
** E-mail Address 1:
** Reenter E-mail Address 1:
E-mail Address 2 (Optional):
Phone Number (Optional):
** Street Address:
** City:
** State/Province:
** Zip/Postal Code:
New Horizons Group Name:
City & State/Province of NH Group:
Instrument(s) or Voice (Individuals and couples ONLY):
** I/we wish to receive NHIMA communications:		Electronically By Regular Mail
** Membership Type:		Individual Individual Lifetime Couple Couple Lifetime Group
For an optional donation to NHIMA, please fill in the following:
Would you like to make an optional donation to NHIMA?:		Check if Yes – Donation amount will be entered during the payment process.

Memorial or in Honor of (Optional):

May we acknowledge your donation on the NHIMA web site? (Amount of donation will not be mentioned.):		Check if Yes
Directory Publication Information and Privacy Notice (Individual, Couple, and Lifetime applications only):
To protect the privacy of its members, NHIMA will not share your personal information with other organizations, except as required by law. However, NHIMA might publish this information in a printed directory, and it might also publish this information in an online or electronic membership directory. Both directories are made available to and intended for NHIMA members only. If you would NOT like some or all of your information published, please check the appropriate boxes below to control your publication preferences. You may change your preferences at any time by going to NHIMA/Member Directory under the main menu and selecting “Updates to the Member Directory”.
DO NOT PUBLISH MY (OUR) INFORMATION IN ANY NHIMA PRINTED DIRECTORY. DO NOT PUBLISH MY (OUR) INFORMATION IN ANY NHIMA ONLINE/ELECTRONIC DIRECTORY. I (WE) WISH TO EXCLUDE THE FOLLOWING INFORMATION FROM MY (OUR) LISTING(S):

Exclude This Information:

Read the Instructions Below Before Submitting Application Form:

Click the “Submit” button only once. This will send your Membership Application to NHIMA. Wait for a confirmation notice that will appear on screen stating that your membership application has been sent. Below that notice is a button that says “Payment Process”. Click that button to complete payment for the membership.

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