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Proceed to the form below and follow the steps to make a secure payment online.       Download and print the application form.  Mail in the application and payment to :  AHRC New York City Membership 83 Maiden Lane New York, New York 10038

Membership Form

*required fields Name*: Address*: City*: State*: Zip Code*: Phone*: Email Address:     Please check if you are: Parent/Guardian Professional Sibling Other (specify) Friend     If you have a loved one who attends an AHRC program please give us the following information: Name of loved one: Date of Birth: Name of Program loved one attends: Relationship to you:     Select membership type*: For a complete description of benefit levels, click here. I am (please check all that applies):   A New Member   Renewing my membership   Adding Additional Supporter Contribution       Membership Type (please check one):   Annual Member $10.00   3 year Membership $25.00   Lifetime Membership $90.00   Additional Supporter Levels: (please add to cost of Membership)   Bronze Level $15.00   Silver Level $40.00   Gold Level $90.00/$60.00 for Lifetime Members       Payment Options*: Submit payment online (please complete steps as directed) Mail in payment (download form)

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