Auto-Renewal Annual Membership

Use this form to select your level of membership and set up auto renewal so you won’t have to think about it again next year. Welcome to the NCHE family!

Is this your first time registering or your first transaction with NCHE?(Required)

Name(Required)

First Last

Email(Required)

By providing my email, I understand that I will receive emails from NCHE.

Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

What county to do you live in?(Required)

Residency Statement(Required)

I am a resident of NC and if homeschooling, am in compliance with the NC homeschool law.

am not a resident of North Carolina. If I am homeschooling, I am in compliance with the laws in my state.

Select Membership Level(Required)

Level 1 Membership [$35.00]

Level 2 Membership [$75.00]

3% Fee

I'd like to cover the 3% processing fee.

Level 1 Membership [$35.00]

Price:

Level 2 Membership [$75.00]

Price:

Processing Fee

$0.00

Total

Billing Address(Required)

Same as previous

Street Address Address Line 2 City State ZIP Code

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Financial information about this organization and a copy of its license are available from the State Solicitation Licensing Branch at 919-814-5400. The license is not an endorsement by the State.

Name

This field is for validation purposes and should be left unchanged.