We invite you to join the Hearing Loss Association of America -
You can join the Albuquerque chapter or pay dues (1) printing this page and filling out the Membership Application / Dues form below OR (2) open the Membership Application / Dues document below (it is in a pdf format), print it out, and fill out the form OR (3) Click on the link below to pay with a credit Card.
If you do (1) or (2), mail your application to the address shown on the application, along with your check or money order to cover the annual chapter dues.
If you do (3), your application and payment are electronically submitted.
The annual chapter dues also includes your subscription to the chapter's newsletter - Wired for Sound.
Option (3) Membership Application / Dues Form (Print this Page)
Address __________________________________________________Apt. Number _________
City ___________________________________________ State_______Zip _______________
New / Renewal
PLEASE CHECK APPROPRIATE LINE
____ Annual Dues: $15.00
____ 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