AAIHDS Individual Membership Application

   

We encourage you to complete your online registration at this time.
Our site is protected by VeriSign, the industry leader in encryption.
Name:
Degree:
Title:
Company:
Address:
City, State, Zip:
Phone:
Fax:
Referred By:
Email:
Position:
Profile:
Other:
Year Organization Became Operational:
Setting:
Risk Contracts: Yes     No

Membership Type
 
  Individual Membership for $197
New                    Renew 
Comments:  
 

Help us cut down spam.

Type the number 411 into
the following box (Required)

 

 

 


  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: renders@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.