Member Affiliates Application Form

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Member Affiliates Application Form

Instructions

Join the Chapter with an Affiliate Membership and you will have greater exposure to our members year round, bringing everyone together on one platform. In addition to a one stop shop for College event support, our members will benefit from a convenient listing of College-connected source of goods and services. As a supporter you will be “front and center” for members each time they visit our Member Hub.

Select An Option

Chapter Member Affiliates Price of Level Selected (Price Range: $500.00 - $2,750.00 Annually)

Select Level

Choose Your Membership Level:

Bronze Member Benefits - $500 annually on an anniversary basis • Membership listing on the sight for the sponsor and sponsor designee (up to 3 individuals) • Link to your website • Rotating logo advertisement on the site • Emailing of all ACHCA NY Chapter correspondence

Silver Member Benefits - $1,000 annually on an anniversary basis • All Bronze Member benefits • (1) half page ad in the Chapter Newsletter (published twice per year) • Company logo as a supporter on all Summer Leadership advertising • (1) advertisement in the yearly NY Chapter Convention book

Gold Member Benefits - $1,250 annually on an anniversary basis • All Silver Member benefits • Education Sponsor with a table at education events for the year

Platinum Member Benefits - $2,750 annually on an anniversary basis • All Gold Member benefits • Single Convention Booth • Discounted rate on double or triple convention booths

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist