Mail to: NAfME Tri-M Music Honor Society, 1806 Robert Fulton Drive, Reston VA 20191
Phone: 800-336-3768 Fax: 703-860-2652 Email: Tri-M@nafme.org
Tri-M
®
Music Honor Society
2019-2020 Activation Form
Chapter activations will be accepted for 2019-2020 through June 30, 2020, after which this form will expire. The activation fee must be paid
each school year. All chapters expire on June 30, 2020. Please allow 2 weeks for processing and 4 weeks to receive your certificate.
Chapter Information (please print)
School
Chapter #
New Chapter
Address
Phone
City
State
Zip
Fax
Country (if outside the U.S.)
Principal
Advisor
NAfME ID (if applicable)
Co-Advisor
NAfME ID (if applicable)
Were you referred by another chapter? Please provide their school name here:____________________________
Chapter Confirmation
The activation and renewal fee for Tri-M chapters is $100. Principal and Advisor signatures are required.
Principal
Tri-M Advisor
Principal Email
Tri-M Advisor Email
Payment Method (payable to NAfME, please do not send cash)
Credit Card Check Purchase Order Money Order
(see below)
MasterCard Visa Discover American Express
Name on Card Exp. Date
Card No. CVV Code
Signature Date
click to sign
signature
click to edit