Membership

Annual Dues
Professionals: $20.00
Students: Free
Teachers (K-12): Free

Membership Benefits

Join Us!

Please fill out the following form online.

Membership Request ANS-NE Section

If you are human, leave this field blank.

Date

Date mm/dd/yyyy

Member Type & Dues - Select 1

Current Full Time Student - No Dues

Current Teacher (k-12) - No Dues

Professional/ Retired - $20/year

Last Name, First Name *

Last Name, First Name

Title *

Mr., Ms, Dr, Prof

Afilliation *

Company, Organization, Retired, etc.

Email - Primary

Primary email address

Email - Alternate

Alternate email address

Office Phone Number

Mobile Phone Number

Home Phone Number

Address *

No., Street, City, State, Zip

Type of Address

Business

Home

Are you a current ANS National member?

Yes

I’d like to get more involved in the Northeastern Section activities. The following are some areas in which I think I can help.

Event Planning

Speaker identification

Speaker Bureau

Outreach

Membership recruiting

Webmaster

Executive Committee

Suggestions or Comments

After the form has been completed, you may pay dues at the next ANS-NE meeting or your can send a check to the current treasurer, if needed:

Mr. Jim Pappas, Treasurer
ANS Northeastern Section
65 Barrington Ave
Nashua NH 03062

Dues are good for the year ending each June 30th.

Alternately you may download, fill out and return the following Membership Application Form.

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