We invite you to join the Hearing Loss Association of America -
You can join the Albuquerque chapter by (1) printing this page and filling out the application form below OR (2) open the Membership Application document above (it is in a pdf format), print it out, and fill out the application form. Then mail your application to the address shown on the application, along with your check or money order to cover the annual chapter fee. The annual chapter fee also includes your subscription to the chapter's newsletter - Wired for Sound.
Address __________________________________________________Apt. Number _________
City ___________________________________________ State_______Zip _______________
PLEASE CHECK APPROPRIATE LINE ____ ____ Individual Annual Dues: $15.00
____ ____ Family Annual Dues: $20.00 ____ ____ Newsletter Subscription Only: $7.50 Donation: $ ________________
If you want your donation to be anonymous, check here________
Please make check payable to HLAABQ
Please mail to: HLAAbq l P.O. Box 36792 l Albuquerque, NM 87176 or Bring to a Chapter Meeting.
Phone: (505) 219 1962