Membership Application

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Personal Information

First Name: Middle/Initial: Last Name: Mailing Address City: State: Province (Foreign): Zip Code: - Phone: Email:

Membership Fees - Please Select One

Membership:

Individual, $45/year

Household, $70/year

Contributing, $150/year

Stewardship, $250/year

Portico, $500/year

Genesis, $1000/year

Individual Monthly Subscription, $5/ month

Contributing Monthly Subscription, $15/ month

Household Monthly Subscription, $8/ month

Check here to have your membership automatically renewed each term upon expiration. This option is a convenient way to maintain an active AHC membership. Your credit card will be charged and a receipt will be sent to you with each renewal term. *Note--if you select a monthly subscription, you will automatically be prompted to auto-renew with a credit card.

Your donation in addition to your membership is always appreciated:

If you are renewing a membership or have signed up for a program with us before and don't remember your password, please choose the "forgot your password" option to avoid setting up duplicate accounts. Thank you!

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