Become a Member of AHA

            

• Mission • Advisory Board • Brochure • Application • History • Awards

Any suggestions
you have for anything are always appreciated!!!!

You must fill out the below form to complete your membership.
A one year membership expires on December 31 2010.
A two year membership expires on December 31 2011. • Brochure • Application • History • Awards  

Please complete this form:
First Name
Middle Name
Last Name
Address
Address 2
City
State
Zip
Country
Phone
Email
Membership Type	ParentIndividual with ASDTeacher/ProfessionalOther
Professional (please state area of expertise)
Number of Years membership paid for	1 year – $402 years – $70Lifetime Membership – $400
AHA depends almost completely on membership dues and donations. If you would like to make an additional donation please note the amount here						$
Questions or Comments About Membership
AHA provides many opportunities for volunteer work. Can we contact you about volunteering for AHA?						Yes No
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ParentIndividual with ASDTeacher/ProfessionalOther 1 year – $402 years – $70Lifetime Membership – $400 AHA depends almost completely on membership dues and donations. If you would like to make an additional donation please note the amount here $


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          Questions? Email us at [email protected]
or call us at 888.918.9198.