Membership and Dues Form

The membership year extends from July 1 to June 30 of the following year.

Members of FAHE receive a quarterly newsletter, and are fully able to access and post to the Web site Job Opportunities page.


First Name:
Last Name:
Address #1:
Address #2:
City:	State or Province:
Zip or Postal Code:
Country:
E-Mail address:
College or University:
Discipline:
Second Discipline:
Administrative position or other role in relation to your college:
Work Phone:
Home Phone:
Monthly Meeting (if applicable):
Yearly Meeting (if applicable):
Other Affiliation:
Indicate at what level will you support FAHE (check one):	Sustainer 1: $100 Sustainer 2: $75 Family: $75 Individual: $60* Student: $15 *Fee may be reduced or waived if needed
Are you interested in making a Tax-deductible contribution to FAHE?	Yes: Please indicate amount: Not at this time.

Please Note: We now have the ability to receive payments online by collecting credit card information through a secure server!

If paying by credit card, please enter the card type and card number:
Credit Card Expiration Date (please clearly distinguish month and year):
	Please automatically renew my membership each July with a charge to my credit card. I understand that I will receive a reminder at least two weeks before the transaction occurs, and that I can change this at any time by contacting the FAHE office in writing.
Any information supplied is used for and by FAHE and not shared with any other organization. To pay other than by credit card, please print this form and mail with payment to: Friends Association for Higher Education 1501 Cherry Street Philadelphia, PA 19102