HAR-068 Record of New Membership

Date

Check rates for a new member using this Dues Estimator

New and reinstating members joining between January and March pay a reduced dues rate for the current membership year plus the full rate (including applicable Area dues) for the upcoming membership year, which begins April 1. Members added to the chapter between January and March will not need to be included in the chapter's renewal invoice.

Current year dues rates are shown below.

2025-2026 Dues	Join in January	Join in February	Join in March
Adults (26 and up)	$18	$12	$6
Youth (25 and under)	$9	$6	$3
Affiliate Directors	$15	$10	$5
Late renewing adults*	$85 + Area	$85 + Area	$85 + Area
Late renewing youth*	$48 + Area	$48 + Area	$48 + Area

*Late renewing members include those who did not renew for the current membership year, regardless of when they left the chapter. Please check with the Corporate Office if you are unsure of a member's status.

The 2026-2027 dues shown below will be added to the reduced amount, and your new member will be in good standing through March 31, 2027. These rates are current as of January 1, 2026; members will be voting on a $15 USD dues increase in January, effective for the 2026-2027 membership year. The proposed rates are shown below for reference.

2026-2027 Membership Dues in USD	Current	Proposed
Adults (26 and up)	$75	$90
Youth (25 and under)	$38	$45
Affiliate Directors	$57	$68

Example: a new Area 3 member over age 26 joining for the first time in February will pay

$12 in 2025-2026 dues
$75 in 2026-2027 dues
$15 new member fee
$10 Area 3 dues

$112 USD Total
This member is in good standing through March 31, 2027

Check one:*

This member is NEW to Harmony, Inc.This member previously belonged to Harmony, Inc.This is a current member of Harmony, Inc. transferring from another chapter or from Associate membership.This is a NEW Affiliate Male Director who has never previously belonged to Harmony, Inc.

Have they been a member of Harmony, Inc. in good standing within the past 12 months?*

NoYes, their membership lapsed in the past year.I'm not sure

Does this member require a new membership pin and/or membership card? (Please note that if yes, the membership fee will be $15 to cover the cost of mailing a new pin and/or card)

YesNo

Please complete the fields below and hit Submit. The Corporate Assistant will contact you with instructions within 1 business day.

During membership renewal season, new/reinstating member fees may be paid with the rest of the chapter members' dues. Members added in this manner will have a membership start date of April 1. Please select an option for your new/reinstating member.*

Pay with renewals. This member will have a join date of April 1.Pay today. This member's join date will be the date payment is received.

New members pay a $15 one-time new member fee. This fee will be included in the membership dues amount shown below.

Reinstating members pay a $10 reinstatement fee unless they have indicated they would like a new membership pin and/or membership card. The fee is they require a new pin or card is $15. This fee will be included in the total due shown below.

Members renewing late (within the first 12 months after a lapse in membership) pay the full, current membership dues, Area dues, and a $10 late fee. If they have indicated they would like a new membership pin and/or card the late fee will be $15. This fee has been included in the membership dues amount shown below.

Oops! This form is for new and reinstating members only. Transferring members may be added using HAR-068A.

Please contact corporateoffice@harmonyinc.org for instructions.

Area*

Name of Chapter*

Country where chapter is located*

Chapter representative completing this form*

First NameLast Name

Chapter Representative Email Address:*

Name of chapter representative who should receive new member materials

If blank, materials are sent to the person completing this form

Email address of chapter treasurer (for invoice or receipt)

optional

Full Name*

First NameLast Name

Name used when initially joining Harmony, Inc. (i.e. maiden name, if applicable)

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

New Member email*

example@example.com

Phone Number*

A youth member is anyone age 25 or younger. Does this member qualify as a youth member?*

Yes, the member is 25 or underNo, the member is over 25

Birth Month

Birth Year

Full year (eg 1970)

age calculation

Parent/Guardian Name

First NameLast Name

Parent/Guardian Email address

example@example.com

Parent/Guardian Phone Number

New member's primary voice part

Name of person who encouraged new member to join

Notes/Comments

Use this space for any additional instructions or information

Membership Dues - Current Year

USD based on join date

Membership Dues - Upcoming Year

USD

Additional fees

New member, reinstatement, or late fees

Total Corporate Membership Dues

USD

Area Dues (Local Currency)

Important Note for Canadian Chapters:

Area dues for Areas 1 & 5 are quoted in Canadian dollars. If you choose to pay all membership dues in US dollars via PayPal, you must first convert the Area dues from Canadian Dollars to US Dollars.

Total Due

Please select a payment method:*

Zelle (for US bank payments)E-transfer (for Canadian bank payments)PayPal (account not required)Check or money orderCredit Card/Debit by invoice (USD only)

US Funds Total

Canadian Funds Total

In which currency do you want to pay?*

CAD (pay by e-transfer or Canadian funds cheque)USD (pay by PayPal or US funds check)Other

Currency Exchange

The Bank of Canada closing exchange rate is shown below. Select the type of exchange required, then copy all digits of the CAD figure into the field labeled "Exchange rate." The form will use that figure to calculate the total due in your selected currency.

Example:

The rate on 17 October 2022 was 1 USD = 1.3730 CAD,
so you would enter 1.3730 into Exchange Rate

Current Bank of Canada Exchange Rate:

Exchange Rate*

This amount CAD = $1 USD

Amount to be exchanged

Converted total

Total Due by check, money order, or e-transfer

calculation

Please take a moment to review your answers for accuracy before submitting this form. Incorrect or incomplete information will delay the processing of your new member's paperwork.

Total Due USD

USDDescription

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Current Membership

Upcoming Membership

Old Current Membership

Old Upcoming Membership

Prorated months

Area

Record of New Membership

Chapter Information

New Member Information

For Members under age 18