HALT Membership Invoice Request Form

HALT Membership Invoice Request Form
Aloha! HALT offers this convenient new form for schools or departments who wish to sign up their teachers or students for HALT membership and need an invoice to process payment (e.g., purchase order, check, etc.)

Part A is for the department or school representative making the arrangements to complete.

Part B is for providing the information for the new or renewing HALT members.

Part C is for specifying type of registration for ALL people listed in Part B and payment preference. (If you wish to register a mixture of teachers and students, we recommend filling out the form twice, one for all the students and one for all the teachers).

If you should have questions, please email us.
PART A: School/department contact information

Part A is for the department or school representative making the arrangements to complete.
Contact Person's Name *

First Name Last Name
Title
Department name
School name *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email *

Confirmation Email example@example.com
PART B: HALT Membership sign-ups

For each person signing up for HALT membership, please include their full name, language(s) taught, and email address. When you finish entering the information for one person, click on the grey Save button. Afterwards, you have the option for entering information for more people. This form can be used for both renewals and new members.
HALT member registration *
PART C: Membership & payment type

Part C is for specifying type of membership for ALL people listed in Part B and your payment preference. (If you wish to register a mixture of teachers and students, we recommend filling out the form twice, one for all the students and one for all the teachers).
Total number of memberships
Automatically generated from Part B
HALT membership type *

Student member - $5/person Professional member - $25/person
TOTAL COST ESTIMATE
Total is automatically generated
How do you prefer to pay? *

Check Credit Card Purchase Order
Acknowledgement *

I am submitting a HALT Membership invoice request based on the information above. I understand that it may take 2-5 business days for processing and that the invoice will be delivered to me via email. We will endeavor to process payment in a timely manner once received.
Should be Empty:

HALT Membership Invoice Request Form

PART A: School/department contact information

PART B: HALT Membership sign-ups

PART C: Membership & payment type