North Country HR Consortium Membership Application

Be a part of the North Country HR Consortium

Complete the form below to sign up for our membership service.
Choose your membership rate:*

$200/yr. for an individual membership; includes attendance at all meetings, virtual or in-person, food and beverages that may be served at meetings, including the Annual Meeting, and partner organization discounts.$300/yr. for an organizational membership; includes attendance at all meetings, virtual or in-person for the primary member and others enrolled from the organization; free admission for two attendees to the Annual Meeting; partner organization discounts.
Your Name*

First NameLast Name
E-mail*
Phone Number:*

Area CodePhone Number
Job Title:*
Company Name:*
Business Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Colleague #1

First NameLast Name
Colleague #1 E-mail
example@example.com
Colleague #1 Job Title:
Colleague #2

First NameLast Name
Colleague #2 Job Title:
Colleague #2 E-mail
example@example.com
Colleague #3

First NameLast Name
Colleague #3 E-mail
example@example.com
Colleague #3 Job Title:
You will receive an invoice via email in the next few days.

Thank you!
Should be Empty:

Be a part of the North Country HR Consortium