New &amp; Renewal Membership Registration

Membership Level Requested REQUIRED Active Member Student Member Retired/Affiliate Member Lifetime Member Corporate Leader - Gold Corporate Leader - Silver Corporate Leader - Bronze Individual Leader - Gold Individual Leader - Silver Individual Leader - Bronze Please fill out this field.

Please click on the Membership tab for information on membership categories. Membership is not active until both payment and new member registration form are received. Thank you.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Job Title REQUIRED Please fill out this field. Please enter valid data.

Discipline REQUIRED Please fill out this field. Please enter valid data.

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Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Parish REQUIRED Please fill out this field. Please enter valid data.

Membership Payment Method

1) SELECT your payment method below in " PAYMENT OPTIONS", either Credit Card, Check or PayPal.
2) Then scroll back up to top of this page on LEFT side to " SUBMIT PAYMENT" tab
3) Click on the method you chose in #1 to submit your information

Your membership will be activitated when both registration form & dues are received.

CURRENT Members: Please locate member payment page to pay your dues.

Payment Options REQUIRED Please fill out this field.

Good Faith Understanding
I have read the Mission Statement and Purpose of the NHGCHP and I practice my profession according to the Catholic Faith.

I Agree Please select this field.

NH Guild of Catholic

Healthcare Professionals

New & Renewal Membership Registration