Update Chapter Roster & Pay Annual Member Dues (2011-2012)

Attention All Chapters of Alpha Eta Rho:

Per the National Bylaws (Article VII. Section 3), all AHP Chapters must each year submit an updated membership roster and pay Annual Member Dues of $25.00 per active member to the AHP National Office. In order to simplify this process, we have developed the following form for all Chapters to complete at the beginning of each academic year.

PLEASE NOTEUse this form ONLY to submit the current roster of members who have been initiated and received membership materials from the AHP National Office. Use the "New Member Submission & Certificate Ordering Form" to order membership materials and pay New Member Dues of $35.00 for groups of new members initiated at any time during the academic year.

ANNUAL ACTIVE MEMBER DUES: $25

INCLUDES:
- NEW AHP Challenge Coin ($25 Value)
- Members-Only Website Access

By clicking "Submit Roster & Pay National Dues", you will be directed to the Active Member Dues Checkout Form. Please ensure the quantity of Active Member Dues in your cart matches the quantity of members you have submitted. If your chapter is unable to pay via PayPal or credit card, please select "Paying by Check" and contact the Executive Director.

If "Paying by Check", please send to:

ALPHA ETA RHO
Attn: Executive Director
4579 Laclede Ave - Suite 1929
Saint Louis, MO 63108

For all questions, please contact Anthony L. Johnson, Executive Director at (877) 410-1929 Ext. 1, or by using this form.

~ ALL OF THE FOLLOWING FIELDS ARE REQUIRED ~

  • Please Use Format: (XXX) XXX-XXXX
  • Please Use Format: (XXX) XXX-XXXX
  • Please Use Format: (XXX) XXX-XXXX
  • Please Use Format: (XXX) XXX-XXXX
  • Please List Name(s) (First & Last) of All Active Members (Separate by Commas)
  • Please List Email Addresses for Each Member Listed (Separate by Commas)
  • NOTE: Please list the names (First & Last) of any members who are paying Active Member Dues ($25) but have NOT received an AHP Challenge Coin.
  • Name of Individual Submitting Form
  • Please Use Format: (XXX) XXX-XXXX
  • Chapter Will Pay by Check & Understands the Order Will Not Be Fulfilled Until Check Has Been Received & Processed