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CORPORATE PARTNERS

Diamond

  • Holloway & Gumbert

Platinum

Gold

  • Acclivity Healthcare
  • Emdeon Business Services
  • DECO Recovery Management, LLC
  • Doctors Reporting Services of Texas
  • HealthShare/THA
  • HMI Financial Services
  • Passport Health Communications
  • Preferred Health Technology
  • Select Billing & Collections

Silver

  • Cardon Healthcare Network, Inc.
  • Financial Corporation of America
  • NCO Financial Systems, Inc.
  • NRS Nationwide Recovery Systems Healthcare Services
  • ParrishShaw + Co.
  • The SSI Group, Inc.

Bronze

  • Ingram & Associates
  • Corpra Care, Inc.

2008 AAHAM Texas Bluebonnet Chapter
New Member Form

Thank you for joining the Texas Bluebonnet Chapter of AAHAM online. Please complete and fill out this form including credit card information. This form is good for LOCAL memberships in the Texas Bluebonnet Chapter ONLY. You cannot join National on this form. If you want a DUAL membership, please visit the National website at http://www.aaham.org.

1. Member Information [ * = required field ]

First Name*
Middle Initial  
Last Name*
Informal Name  
Suffix  
Credentials  
Company or
Organization Name*
Title*
E-mail*
Address Line 1*
Address Line 2  
City*
State*
Zip*
Telephone*
Fax  

AAHAM dues are not tax-deductible as a charitable contribution but may be deductible as a business expense. Membership is on an individual, not institutional, basis and is non-transferable or refundable. Tax ID# 94-3126937

Amount you will be charged:

Texas Bluebonnet Chapter Local Dues: $25 - membership through Dec. 31

2. Payment Information [ * = required field ]

Type of Card  
Credit Card Number*
CVV2 Security Number (3-4 digits)*
Expiration Date*
Name as it appears on card*
Billing Address 1*
Billing Address 2  
City*
State*
Zip*