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American Sleep Apnea Association
enhancing the lives of those with sleep apnea



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JOIN THE AMERICAN SLEEP APNEA ASSOCIATION

You're not the only one affected by sleep apnea...

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.

Please also indicate your preference for a medical-alert
bracelet or necklace.

Name: _______________________________________
Address: _______________________________________
_______________________________________
City:__________________ State:_________ Zip:_________
Telephone:__________________(home)
_______________(work)
________________(fax)

E-mail address: _________________________________
Privacy Policy    Copyright & IP Notice

© 2008 American Sleep Apnea Association

Members at the Contributor level and above are listed in the annual report unless they request otherwise. Your membership dues are tax-deductible to the extent allowed by law.

The American Sleep Apnea Association is a non-profit 501(c)(3) organization.

Thank you for your interest and support.

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American Sleep Apnea Association
6856 Eastern Avenue, NW, Suite 203, Washington, DC 20012
phone: 202/293-3650     fax: 202/293-3656

Privacy Policy    Copyright & IP Notice

© 2008 American Sleep Apnea Association