Sign up

Please fill out the form below, print it out, and send it to CAHRO, 320 West Temple St., #1184, Los Angeles, CA 90012 with your check. Your donation is tax deductable.


	Name

Organization


	Address


		City

Phone

	Email


	State


	Fax

I am a new member

I am renewing my membership

Basic Membership

Student/Volunteer/Senior $ 25

Individual $50

Organization $150


	Sponsorship

Contributing $250

Sustaining $500

Patron $1000

Other


	Zip Code

Check here if your employer has a matching gifts program. Please enter the name of your company below.

I would like to donate stocks or securities to CAHRO

I would like to include CAHRO in my estate planning

Members will receive CAHRO's quarterly publication - The Connection, a one year subscription to Inside CAHRO, discount admission to CAHRO symposium and conferences and technical assistance and consultation.

Please mail this application to the address below, and remember include your check, payable to CAHRO Membership . For information on tax deduction, please contact CAHRO .


	320 West Temple St., #1184 Los Angeles, CA 90012 Phone: 213-974-7601 info@cahro.org www.cahro.org


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