New Member Registration Form

  • Certifications

  • Dues

    INITIATION FEE: $50.00
    CERTIFIED/REGULAR: $100.00
    ASSOCIATE: $50.00
    STUDENT: $35.00 (No initiation fee required)
  • Initiation fee of $50 has been added to all memberships except Student
  • $0.00
  • I have read and understand all of the preceding questions to this application, and hereby warrant each of the preceding answers to be true. I do hereby agree to do all within my power to help promote the purpose and beliefs of this organization, faithfully, in accordance with the by-laws, as outlined by the New Hampshire Opticians Society.
  • Date Format: MM slash DD slash YYYY
  • Application, along with the $50.00 initiation fee and membership fee are to be sent to the Executive Board for review. The applicant will be asked to attend the next Quarterly meeting to be voted in to the Society. If not accepted in to the Society the funds shall be returned to the applicant.
  • This field is for validation purposes and should be left unchanged.