Home > Membership > Application

Why Join? / Categories & Benefits / Insurance / Application / Become an AAHF Angel / AAHF Angels / Century Club

NATURALLY, I'D LIKE TO JOIN.   Date:______
__ New Member
__ Renewal
Name: __________________________________________________________________
Degree: _________________________________________________________________
Company: _______________________________________________________________
Address: ________________________________________________________________
City: ___________________________________ Zip Code:_______________________
Phone: _________________________________ Fax: ___________________________
E-mail: _________________________________ Web Site:_______________________
I do not want to be listed in your online directories.

Membership Categories
For a limited time we have a special offer to new members:
Join as a Professional member and receive a $350 gift certificate from Thorne Research. This offer is valid for licensed health care practitioners only.

How You Heard About AAHF

(check all that apply)

_ Referred by:_______________
_ AAHF Staff:________________
_ Board Member:____________
_ Conference:_______________
_ Website:__________________
_ Other:____________________
AAHF Angels
__ Presidential (monthly)

__ Diamond (monthly)

$3,000.00
__ Platinum (monthly)
$2,500.00
__ Gold (monthly)
$2,000.00
__ Silver (monthly)
$1,000.00
__ Bronze (monthly)
$500.00
__ Cherub (monthly)
$250.00
Monthly Contribution  
__ Century Club
$100.00
Individuals
__ Benefactor
$1,000.00
__ Patron
$500.00
__ Clinic
$600.00

__ Professional

$350.00
__ Associate
$165.00
__ Consumer
$100.00
__ Student/Retiree
$60.00


Payment Method

Please make all checks for membership dues payable to AAHF.

Enclosed please find check# _______ for ______

Please charge my: _ Visa _ AMEX _Mastercard _Discover

CARD NUMBER_______________________________

EXPIRATION DATE_____________________________

SIGNATURE___________________________________

 

PLEASE PRINT AND MAIL OR FAX TO:
P.O. Box 458, Great Falls, VA 22066 · Fax (703) 759-6711

AAHF is a 501(c)4 nonprofit corporation. AAHF dues are not deductible as a charitable contribution for federal tax purposes, but may be deducible as a business expense.

Copyright © 2001
American Association for Health Freedom
9912 Georgetown Pike Suite D-2 • P.O. Box 458 • Great Falls, Virginia • 22066
800-230-2762 • 703-759-0662 • Fax 703-759-6711
email: healthfreedom2000@yahoo.com