AHHA ONLINE MEMBERSHIP RENEWAL


You can use the online renewal form on this page to fill out and submit AND then access Authorize.net or PayPal for an online credit card transaction OR then mail a check or money order to AHHA.
OR
You can mark up the renewal invoice emailed to you and mail to AHHA with your check or money order to AHHA.

IDENTIFY MEMBERSHIP BEING RENEWED:
Membership Type:
Member Name:
Member Number (if known):
Contact email
(in case needed to verify something):




AHHA IS PAPERLESS
Your AHHA membership contribution receipt is emailed to you.
Your AHHA membership certificate is emailed to you - if you are a Practitioner or Organizational member.
The bi-monthly member newsletter issues are accessed online in the password-protected Members Only Section.

REQUESTED CHANGES:
If you need to update ANYTHING, explain in box below. If nothing has changed, skip this section.
MESSAGE TO AHHA:
Any other message to AHHA can be shared here.
CONTRIBUTION INFORMATION:
AHHA is a designated 501(C)(3) - Tax ID# 33-041271
Contributions are tax deductible as allowed by law


BASIC
$




EXTRA
$















TOTAL
$


BASIC AHHA MEMBERSHIP CONTRIBUTION
AHHA Membership annual renewal contribution
Membership amounts are General=$30; Practitioner=$60; Organizational=$110.
If renewing BEFORE membership expiration, discounted rates are General=$25; Practitioner=$50; Organizational=$100.


OPTIONAL ADDITIONAL DONATION
Contributing an additional amount to expand the outreach of this valuable organization
Over and above the basic contribution above, I/we donate an additional donation amount
Platinum Circle = $500 or more
Gold Circle = $250 - $499
Silver Circle = $100 - $249
Bronze Circle = $50 - $99
Copper Circle = $5 - $49

With permission of the donor, an extra donation over and above the basic membership contribution amount is acknowledged in the Honored Donors section of our website at ahha.org/honored-donors with the name of the donor. Gold and Platinum Circle level donors can add a hyperlink.
I grant permission to be added to the Honored Donors list

COMBINED SUPPORT TO AHHA
Type in the TOTAL AMOUNT you intend to contribute to AHHA.
This is the SUM of basic membership contribution, plus any additional donation you would like to make.

Print out a copy of all of the above for your records, as back up in case of a technical glitch in information transfer.

SUBMIT APPLICATION INFORMATION TO AHHA:
IMPORTANT: THIS FORM DOES NOT MAKE YOUR PAYMENT.
After you click on SUBMIT button below, the data you entered above will be emailed to AHHA.
AND you will be transferred to the payment information screen.
Pick Option #1 to indicate you plan to mail a check or money order to AHHA to make your membership contribution.
Pick Option #2 to indicate you plan to use your credit card to make your membership contribution.
Method will use to make membership contribution