NHA New Member Information Form Please complete this form to become a member of the National Humanities Alliance. Someone from NHA’s team will follow up with an invoice within a few days. Member contacts will receive monthly Memo to Members newsletters from NHA. Institution/Organization Name(Required) Membership Type(Required) Colleges and Master’s Universities Research and Doctoral Universities Museums, Historical Societies, and Other Cultural Institutions Membership Organizations Membership organization dues start at $1,000 and are calculated by taking .3% of Line 18 (Total Expenses) from the IRS form 990 and subtracting Line 13 (Grants Given). In calculating dues, consideration is given to organizations where members are not all humanists. For additional information about the dues formula, please contact Kassandra Wahlstrom at (240) 349-6616.Dues for research and doctoral universities are $3,100Dues for college and masters universities are $1,250Dues for museums, historical societies, and other cultural institutions are $1,150Primary Member ContactPlease designate a primary contact for your institution or organization. Name(Required) Dr.Mr.Mrs.Ms.Mx.Rev. Prefix First Last Job Title(Required) PhoneEmail(Required) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Billing ContactPlease designate a billing contact. Billing Contact Name(Required) First Last Billing Contact Email(Required) Billing Contact Job Title Additonal ContactsPlease add as many additional contacts as you wish.Name First Last Job Title Email Do you want to add a government relations contact?YesNoIf your campus has a government relations officer, you might consider adding them as a contact. We routinely work with government relations officers on Hill advocacy, and they tend to appreciate access to our resources.Name (Gov Relations) First Last Job Title Email Do you want to add more contacts?YesNoName 2 First Last Job Title 2 Email 2 Do you want to add more contacts? 3YesNoName 3 First Last Job Title 3 Email 3 Do you want to add more contacts? 4YesNoName 4 First Last Job Title 4 Email 4 Do you want to add more contacts? 5YesNoName 5 First Last Job Title 5 Email 5 Do you want to add more contacts? 6YesNoName 6 First Last Job Title 6 Email 6 Do you want to add more contacts? 7YesNoName 7 First Last Job Title 7 Email 7
