American Sleep Apnea Association

Becoming a member

The American Sleep Apnea Association serves people affected by sleep apnea and provides information on sleep apnea to the public.

As a member of the American Sleep Apnea Association:

you belong to a organization with thousands of people affected by sleep apnea across America.
you receive a year-long subscription to the ASAA newsletter WAKE-UP CALL with useful articles and current information.
you are invited to participate in the ASAA A.W.A.K.E. Network with hundreds of mutual-help groups throughout the country.
you will receive a medical-alert identification bracelet or necklace to help assure that you will receive appropriate treatment for your sleep apnea during a medical emergency.


Necklace	Bracelet

Join today and help to build a strong organization--for you and others like you.

To join, make your check or money order payable to the American Sleep Apnea Association and send your dues (see the categories below), with the completed form to:

American Sleep Apnea Association
6856 Eastern Avenue, NW
Suite 203
Washington, DC 20012

You can also join online using our secure donation form. Please use the comments section on the last page of the form to indicate your choice of bracelet or necklace.

Membership Form

Please print this page, complete the requested information and mail it to us with your check.

Membership Categories:

$25 Member*

$50 Friend/Foreign Member

$100 Contributor

$250 Investor

$500 Patron

$750 Benefactor

$1000 Sponsor

Other: $_______

*For members whose newsletter is to be sent outside the United States, the minimum membership is $50.

Name:	_______________________________________
Address:	_______________________________________
	_______________________________________
City:__________________ State:_________ Zip:_________
Telephone:	__________________(home) _______________(work) ________________(fax)
Please also indicate your preference for a medical-alert Bracelet or Necklace. E-mail address: _________________________________