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

Instructions:

** = Required Fields

For Group or Planning Membership Renewal Only: Check here and fill in the Member Information of the contact person for the group. (You only need to fill in any information that has changed, plus the Required Fields.) 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):    
** Name of Person Making Payment:    
** Member ID (From the renewal form mailed to you):    
** 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:    
Instrument(s) or Voice (Individuals and couples ONLY):    
** I/we wish to receive NHIMA communications:       Electronically   By Regular Mail
** Membership Renewal Type:       Individual
  Individual Lifetime Upgrade
  Couple
  Couple Lifetime Upgrade
  Group
  Planning

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:

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 on-line or electronic, password protected membership directory. Both directories are made available to and intended for NHIMA members only. Check the appropriate box(es) 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”. Select “Group Membership - N/A” for Group Membership renewal.

** Publishing Preferences (make one or more selections):
Group Membership - N/A
PUBLISH ALL MY (OUR) INFORMATION IN ALL DIRECTORIES
DO NOT PUBLISH MY (OUR) INFORMATION IN ANY NHIMA PRINTED DIRECTORY
DO NOT PUBLISH MY (OUR) INFORMATION IN ANY NHIMA ON-LINE ELECTRONIC DIRECTORY
I (WE) WISH TO EXCLUDE THE FOLLOWING INFORMATION FROM MY (OUR) LISTING(S)
 
Exclude This Information:    
         
Read the Instructions Below Before Submitting Renewal Form:                          

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


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