AAIHDS
American Association of Integrated Healthcare Delivery Systems

 

 

AAIHDS Membership Application

   

We encourage you to complete your online registration at this time.  Our site is protected by VeriSign, the industry leader in encryption.
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Risk Contracts: Yes     No
Payment  
  New Group dues for $750 are enclosed (6 Memberships-$900 savings!)
Renewal Group dues for $750 are enclosed (6 Memberships-$900 savings!)
New Individual dues for $275 are enclosed.
Renewal Individual dues for $275 are enclosed
 
Payment Method:
 
 
If Paying by Check, Check #: Payable to AAIHDS
When you provide a check as payment, you authorize us either to use information from your check to make a one-time
electronic fund transfer from your account or to process the payment as a check transaction.

 
If Paying by Credit Card:   When you hit submit you will be sent to the page for payment by credit card.
If you are paying by credit card and the cardholder name is different than applicant name above,
please enter cardholder name here:
 
If you are mailing or faxing this to us
please have cardholder sign here:
Receipt: An email receipt will be sent when your credit card is charged.
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  For Additional Information

  AAIHDS
  4435 Waterfront Drive, Suite 101, P.O.Box 4913
  Glen Allen, Virginia 23058-4913

  Phone: (804)-747-5823
  Fax: (804)-747-5316
  email: keads@aaihds.org

  Federal I.D.# 54-1687681

  A nonprofit 501(c)6 association

  Membership dues are not deductible for federal income tax purposes but may be deductible as a business expense.
  Consult your tax advisor for more information.