AHHA ONLINE MEMBERSHIP RENEWAL


You can use the renewal form on this page to fill out and submit online
OR
You can mark up the renewal invoice mailed to you and mail to AHHA.

IDENTIFY MEMBERSHIP BEING RENEWED:
Membership Type:
Member Name:
Member Number:
AHHA's GO GREEN options:
AHHA strives to go green and minimize our paper consumption
Thank You Packet materials and bi-monthly member newsletter issues are accessed online in the Members Only Section
While we are happy to mail you specific materials, we ask you to verify what you wish to receive by mail...
  • for General Members
    You will receive your receipt by email
  • for Practitioner Members
    Receipt
    Certificate
    Booklets
  • for Organizational Members
    Receipt
    Certificate
    Booklet

    If your Mail To address is outside of the U.S., then you will need to prepay mailing costs of any materials sent to you.

  • MEMBER LOGIN:
    Each AHHA membership has a login/password for access to the online AHHA Members Only Section.
    If you have not done so already, please designate an email that can be used in case you forget your password in the future. It is best to use an email with limited access.
    Login-related email to use:

    If nothing has changed, skip to end of this form. If you need to update anything, you can use the following...

    MEMBER CONFIDENTIAL CONTACT INFORMATION - for use by AHHA only:
    Full Name:
    Organization:
    Work Phone:
    Home Phone:
    Cell Phone:
    Email:
    Login-related Email:
    Website:
    MAIL TO ADDRESS:
    Street Address:
    City:
    State:
    Zipcode:
    Country:
    MESSAGE TO AHHA:
    Mention any updates needed for your listing.

    CONTRIBUTION INFORMATION:
    AHHA is a designated 501(C)(3) - Tax ID# 33-041271
    Contributions are tax deductible as allowed by law


    BASIC
    $



    FOREIGN POSTAGE
    $



    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.




    For non-U.S. addresses - add mailing costs for any requested mailed materials



    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
    Extra Gift = $49 or less

    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 mailing costs (if requested materials mailed to non-U.S. address), 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:
    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