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Fax Please only enter numbers in this field. Cellphone Please only enter numbers in this field. Email This email will show up in the directory, it can be different from above. Why are you joining/renewing with NHPA? *Please rate 1-5 in order of importance (1 is highest): Collegiality Legislative advocacy Updates regarding State/National issues Referrals Reduced CE fees Other Please indicate why? Have you ever been a member of NHPA? Yes No Highest Degree: Bachelor’s DegreeMaster’s DegreeDoctoral Degree * Date of Degree: Select year196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025 * Degree Granting Institution: * Are you licensed to practice psychology in NH? 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Yes, renew at The price for membership is $130.00 per Year. Choose Your Payment Method Pay by Credit Card Pay by Check Payment Information We Accept Visa, Mastercard and American Express Card Number Expiration Date CVC Discount Code Please submit payment to: New Hampshire Psychological Association PO Box 1492, Dover, NH 03821 Processing...
