NAHUC Membership Application First Name Last Name Email Address Street Address City State or Province Zip or Postal Code Phone Number Place of Employment or School Job Title If Someone Referred You, Please Give Their Name Mailing List Options Mailing List Options Check Here if You Do Not Want to Receive Mailings from Outside Vendors Member Type Member Type New Member $45 USD first year New Student Member $30 USD first year Renewing Member $40 one year Renewing Member $95 three years 2 + 7 = Submit