Registration Form and Invoice AWS
Registration Form
and Invoice
for the 2017-2018 School Year (valid until 6/30/2018)
MAIL: National Art Honor Society, NAEA, 901 Prince Street, Alexandria, VA 22314 FAX: 703-860-2960 | PHONE: 800-299-8321 | E-MAIL: [email protected]
Sponsor Information Primary Sponsor: (required) First Name:
Last Name:
E-mail Address:
Phone Number:
Co-Sponsor: (optional) First Name:
Last Name:
E-mail Address:
Phone Number:
IS EACH SPONSOR AN NAEA MEMBER? Yes: NAEA ID Number(s): Sponsor:
Co-Sponsor: __________________
If both sponsors are currently NAEA members and the memberships are valid through 6/30/2018, the sponsorship fee is $0. If a sponsor’s NAEA membership has lapsed, or will lapse before the date listed above, include the sponsorship fee on Side B of this form
No: Include the school sponsorship on Side B of this form
1
Number of sponsors _____ x School Sponsorship Fee of $______= $________ (see chart on Side B for fees)
School Information School Type:
Middle/Junior High School (NJAHS)
High School (NAHS)
School Name:
Phone Number:
Address:
City:
RENEWING CHAPTER?
State:
Zip:
Yes: NAHS Chapter Number: No: I’m completing the NEW CHAPTER AUTHORIZATION on Side B. I've registered my chapter for 2017-2018. I'm adding more students for this year.
2
Number of student members for 2017-2018: ________ x $5 = $________
Include a copy of your student roster with this form. Download a roster form at www.arteducators.org/NAHS or submit with a copy of your own roster. Student dues are $5 per student for the 2017–2018 program year.
Payment Information Total Section 1 $
+ Total Section 2 $
School Sponsorship Fee(s)
= Total Amount Enclosed $ Student Dues
Check made payable to NAEA. Send one check or money order per chapter. Credit Card: Visa Mastercard American Express Discover / Card Number
Exp Date
__ Sec Code
Purchase Order: If your institution requires an invoice in order to make payment, please send this completed form with a copy of your signed, official school purchase order. An invoice will be e-mailed to the sponsor listed on this form and the accounts payable contact listed below. A chapter is not considered registered until payment is received. Accounts payable contact (required for invoicing): ____________________________ Accounts Payable Contact Name
Side A
Accounts Payable E-mail
____ Accounts Payable Phone
Registration Form for the 2017-2018 School Year (valid until 6/30/2018)
New Chapter Authorization (New Chapters Only) We have read and understand the NAHS/NJAHS Constitution and agree to uphold the national minimum standards set forth by the National Council. Sponsor Signature: Principal Name:
Principal Signature:
Please describe how your chapter will support student members throughout the academic year to ensure the national expectations set forth in the NAHS/NJAHS Constitution are met. (This can be submitted on a separate sheet with registration or, briefly below.)
School Sponsorship Fee Information An annual sponsorship fee is required to register each chapter and entitles the primary chapter sponsor to all the rights and privileges of one active membership including all NAEA member and NAHS chapter benefits. The sponsorship fee is waived for sponsors who are already active members of NAEA. Co-sponsors must also be active NAEA members, or pay the sponsorship fee.
NAEA Membership Fees by State Fees include state and national membership. Fees are subject to change: $105 in CA, NV $100 in CT $95 in MI, MN, MS, RI $90 in AL, AZ, DC, DE, IA, KS, KY, LA, MD, NC, OR, VA, WA $89 in PA $85 in MA, MO, NM, SC, SD, UT, VT, WI, WV $80 in AK, AR, GA, HI, IN, MT, NE, OK, TN, and all APOs $75 in WY Fees include national membership only: $65 in CO, FL, ID, IL, ME, NH, NJ, NY, ND, OH, TX, and U.S. Possessions $85 for Canada/International (credit card payment only)
Need Resource Products? 1. Order online at www.arteducators.org 2. Download an order form at www.arteducators.org/nahs 3. Call NAEA Member Services at 800-299-8321
Registration Checklist Completed registration form Payment for all applicable fees Student roster Chapter bylaws New chapter authorization (if applicable) After submitting your registration, allow three weeks for processing and delivery of your chapter packet. Your chapter packet will include your student certificates / membership cards. The printing template can be downloaded at: www.arteducators.org/nahs/chaptersupport
Side B
2017-2018
NAHS/NJAHS ROSTER Please list all members and submit this information with your registration form. (You may attach a print-out of your roster.) _____________________________________________
_____________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
_____________________________________________
_____________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
_____________________________________________
_____________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
______________________________________________
______________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
______________________________________________
______________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
______________________________________________
______________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
______________________________________________
______________________________________________
______________________________________________
______________________________________________
STUDENT NAME
STUDENT NAME
STUDENT NAME
GRADE
GRADE
STUDENT NAME
GRADE
GRADE
______________________________________________
______________________________________________
______________________________________________
______________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
STUDENT NAME
STUDENT NAME
GRADE
GRADE
______________________________________________
______________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
______________________________________________
______________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
______________________________________________
______________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
______________________________________________
______________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
______________________________________________
______________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
______________________________________________
______________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
and Invoice
for the 2017-2018 School Year (valid until 6/30/2018)
MAIL: National Art Honor Society, NAEA, 901 Prince Street, Alexandria, VA 22314 FAX: 703-860-2960 | PHONE: 800-299-8321 | E-MAIL: [email protected]
Sponsor Information Primary Sponsor: (required) First Name:
Last Name:
E-mail Address:
Phone Number:
Co-Sponsor: (optional) First Name:
Last Name:
E-mail Address:
Phone Number:
IS EACH SPONSOR AN NAEA MEMBER? Yes: NAEA ID Number(s): Sponsor:
Co-Sponsor: __________________
If both sponsors are currently NAEA members and the memberships are valid through 6/30/2018, the sponsorship fee is $0. If a sponsor’s NAEA membership has lapsed, or will lapse before the date listed above, include the sponsorship fee on Side B of this form
No: Include the school sponsorship on Side B of this form
1
Number of sponsors _____ x School Sponsorship Fee of $______= $________ (see chart on Side B for fees)
School Information School Type:
Middle/Junior High School (NJAHS)
High School (NAHS)
School Name:
Phone Number:
Address:
City:
RENEWING CHAPTER?
State:
Zip:
Yes: NAHS Chapter Number: No: I’m completing the NEW CHAPTER AUTHORIZATION on Side B. I've registered my chapter for 2017-2018. I'm adding more students for this year.
2
Number of student members for 2017-2018: ________ x $5 = $________
Include a copy of your student roster with this form. Download a roster form at www.arteducators.org/NAHS or submit with a copy of your own roster. Student dues are $5 per student for the 2017–2018 program year.
Payment Information Total Section 1 $
+ Total Section 2 $
School Sponsorship Fee(s)
= Total Amount Enclosed $ Student Dues
Check made payable to NAEA. Send one check or money order per chapter. Credit Card: Visa Mastercard American Express Discover / Card Number
Exp Date
__ Sec Code
Purchase Order: If your institution requires an invoice in order to make payment, please send this completed form with a copy of your signed, official school purchase order. An invoice will be e-mailed to the sponsor listed on this form and the accounts payable contact listed below. A chapter is not considered registered until payment is received. Accounts payable contact (required for invoicing): ____________________________ Accounts Payable Contact Name
Side A
Accounts Payable E-mail
____ Accounts Payable Phone
Registration Form for the 2017-2018 School Year (valid until 6/30/2018)
New Chapter Authorization (New Chapters Only) We have read and understand the NAHS/NJAHS Constitution and agree to uphold the national minimum standards set forth by the National Council. Sponsor Signature: Principal Name:
Principal Signature:
Please describe how your chapter will support student members throughout the academic year to ensure the national expectations set forth in the NAHS/NJAHS Constitution are met. (This can be submitted on a separate sheet with registration or, briefly below.)
School Sponsorship Fee Information An annual sponsorship fee is required to register each chapter and entitles the primary chapter sponsor to all the rights and privileges of one active membership including all NAEA member and NAHS chapter benefits. The sponsorship fee is waived for sponsors who are already active members of NAEA. Co-sponsors must also be active NAEA members, or pay the sponsorship fee.
NAEA Membership Fees by State Fees include state and national membership. Fees are subject to change: $105 in CA, NV $100 in CT $95 in MI, MN, MS, RI $90 in AL, AZ, DC, DE, IA, KS, KY, LA, MD, NC, OR, VA, WA $89 in PA $85 in MA, MO, NM, SC, SD, UT, VT, WI, WV $80 in AK, AR, GA, HI, IN, MT, NE, OK, TN, and all APOs $75 in WY Fees include national membership only: $65 in CO, FL, ID, IL, ME, NH, NJ, NY, ND, OH, TX, and U.S. Possessions $85 for Canada/International (credit card payment only)
Need Resource Products? 1. Order online at www.arteducators.org 2. Download an order form at www.arteducators.org/nahs 3. Call NAEA Member Services at 800-299-8321
Registration Checklist Completed registration form Payment for all applicable fees Student roster Chapter bylaws New chapter authorization (if applicable) After submitting your registration, allow three weeks for processing and delivery of your chapter packet. Your chapter packet will include your student certificates / membership cards. The printing template can be downloaded at: www.arteducators.org/nahs/chaptersupport
Side B
2017-2018
NAHS/NJAHS ROSTER Please list all members and submit this information with your registration form. (You may attach a print-out of your roster.) _____________________________________________
_____________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
_____________________________________________
_____________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
_____________________________________________
_____________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
______________________________________________
______________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
______________________________________________
______________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
______________________________________________
______________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
______________________________________________
______________________________________________
______________________________________________
______________________________________________
STUDENT NAME
STUDENT NAME
STUDENT NAME
GRADE
GRADE
STUDENT NAME
GRADE
GRADE
______________________________________________
______________________________________________
______________________________________________
______________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
STUDENT NAME
STUDENT NAME
GRADE
GRADE
______________________________________________
______________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
______________________________________________
______________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
______________________________________________
______________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
______________________________________________
______________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
______________________________________________
______________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
______________________________________________
______________________________________________
STUDENT NAME
STUDENT NAME
GRADE
GRADE
