MEMBERSHIP/SUPPORT FORM

Please print form and mail it along with your check or money order.
PDF | MS Word

OR

Please fill out the form below and submit, AND send your check later,

If you are interested in FULL MEMBERSHIP, e-mail or mail the form and someone will contact you. Do not send a check.

MAILING ADDRESS:

ACLAIMH
632 Plank Road
Suite 110
Clifton Park, NY 12065

Attention: Membership

Online Form:

Please check the appropriate boxes:
Full Membership: A packet will be sent to you, and someone will contact you. Dues are calculated on the number and type of housing units that are operated.
Supporting Membership: $200
Affiliate Membership: $200
Individual Contribution ~ amount:
Individual Name
Company Name
Address
City
State
ZIp
Contact Person
Phone
Fax
E-mail
 *required

THANK YOU OR YOUR SUPPORT AND INTEREST!!
632 Plank Road • Suite 110 • Clifton Park, NY 12065 • Phone: 518.688.1682 • Fax: 518.688.1686 • info@aclnys.org