Membership Application or Renewal Form

To apply or renew your membership, please fill out this membership application. Please complete this form and submit only once!

Your membership application will be voted upon and processed and you will receive an invoice from Quickbooks. You will be able to pay this invoice via credit card online or by printing the invoice and sending a check to the address included on the invoice.

2025 Membership Dues and Meeting Rates:

Annual Dues:

$50 SHRM Members

$75 Non-SHRM Members

Pre-paid Bundle (Dues and includes all 9 Meetings/Programs):

$175 SHRM Members

$205 Non-SHRM Members

Please contact Mikki Lane, Treasurer at kvhra@outlook.com with any questions.

Thank you!

Are you a current SHRM Member? * Yes No

If you are a SHRM member, what email do you use to login to SHRM?

First Name * *

Middle Initial

Last Name * *

Job Title * *

Company Name

Mailing Address * *

City * *

State *

Zip Code * *

Email Address (primary) * *

Email Address (secondary)

Phone number

Alternate phone number

Years in People Management or HR function * *

Certifications * PHR SPHR GPHR SHRM-CP SHRM-SCP Other: None

Registration Type * Renewing Member New KVHRA Member

Membership Type * Professional Student Member in Transition (between jobs)

Membership Option Selected * $50 - SHRM Member $75 - Non-SHRM Member $175 Bundle SHRM Member includes annual dues and all 9 meetings $205 Bundle Non-SHRM Member includes annual dues and all 9 meetings

How will you be paying your membership dues? * Paying by credit card via Quickbooks in follow up email Mailing a check to PO Box 1445, Waterville, Maine 04903

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Membership Application or Renewal Form

Chapter #0694

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