Renewal New Membership Organization Membership $35.00 Individual Membership $15.00
Organization _________________________________________________________________________
Name (Individual Membership) ___________________________________________________________
Address _________________________________ City_________________ State ____ Zip ___________
AKCHO Representative _________________________________________________________________
Phone _____________________________________ Fax _____________________________________
Mailing Address (if different from above) _________________________ City ______________ St ____ Zip _______
Website ____________________________________________________________________________
Email Address _______________________________________________________________________
The following information is for the AKCHO brochure. We have enough space for 60 organizations. Current member organizations will be included in the brochure on a first come, first-served basis. Deadline for submission is April 1 of each year.
Memberships are for one year, beginning January 1 and expiring December 31 of that same year.