Member Registration Form

Sebasticook Chapter of NAVHDA
2026 Member Registration Form

You must be a member of NAVHDA International to join or renew membership with the Sebasticook Chapter. NAVHDA International Membership forms are available at NAVHDA.org. You will need your NAVHDA number to register with Sebasticook. Please note that our memberships are valid from January 1 to December 31 and members may sign up for the upcoming year after all activities have ended September 30.
New Member or Renewal?
Full Name

First NameLast Name
A family membership is two adults living at the same address. Youth members under 18 are free and may be added as family members or as a separate membership. Please list additional members' full names below.
Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
NAVHDA International:
Primary Member Phone Number
Format: (000) 000-0000.
Second Adult Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Second Adult E-mail
example@example.com
Youth family member 1

First NameLast Name
Youth member 1 email
example@example.com
Youth family member 2

First NameLast Name
Youth member 2 email
example@example.com
Membership
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Individual Membership
Single person

$62.00 Quantity



Family Membership
For two adults at the same address. Please list both names.

$83.00 Quantity



Junior Membership
Up to 18 years old

Free Quantity



Adult Lifetime Membership
18 years and older

$1,035.00 Quantity



Youth Lifetime Membership
Up to $500

$520.00 Quantity
Item subtotal:$0.00



Contribution to the Chapter
We are a 501(c)(3) non profit. Your tax deductible donation helps keep our Chapter rolling.

$10.00 Quantity



Contribution to the Chapter
We are a 501(c)(3) non profit. Your tax deductible donation helps keep our Chapter rolling.

$20.00 Quantity



Total

$0.00
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Sebasticook Chapter of NAVHDA

2026 Member Registration Form

Membership

Payment Methods