NIA Membership Application

Any person interested in insulators, lightning rod equipment, or any related collecting or historical activity shall be eligible to apply for membership. Any club of insulator collectors and/or dealers may apply for a regular membership in the NIA upon approval of its by-laws by the NIA board of directors.

The fiscal year for membership dues starts and ends in January of each year. All dues amounts are in U.S. funds.

Classes of membership:

Regular: A regular, adult member with no additional family memberships.	$12.00
Family: A regular, adult member including other family members residing at the same mailing address.	$12.00
Junior: A member under 18 years of age	$5.00
Club: A club or organization	$12.00

New members are entitled to all membership privileges immediately upon payment of current dues. Family members do not receive duplicates of these mailings to the same address, but each member will receive a membership card.

Note: Please make sure to complete BOTH steps 1 and 2!

Step-1: Fill out the following form to electronically get your membership started or renewed!

Select Membership Class:
Select if a new member or a Renewal
Name (Primary Member)
NIA# (Renewal Only)

Street Address:

City:
State/Province:
Zip/postal Code
Country:

Telephone:
Email Address:
Please Include my information in the Annual Membership Directory
Select Drip Points Newsletter delivery (electronically (PDF) or US mail)		Note: Electronic (PDF) is much faster, provided in color and saves postage. Electronic versions also include selected club newsletters.
Name of Google account holder if different from the primary member


Additional Family Members: (Add NIA number if known)
Name:	NIA#
Name:	NIA#
Name:	NIA#
Name:	NIA#
Name:	NIA#
Name:	NIA#
Name:	NIA#
Name:	NIA#

Note that once the form is submitted you will get a confirmation page - you will need to use your browser back key to get back to complete step-2

Submit Form:

Note: -- Make sure to select submit the form above before starting step 2!

Step-2: Electronic payment through Google secure checkout!

Return to the NIA Home Page