Alamo Head Injury
Alamo Head Injury Association

 

You can support the Alamo Head Injury Association, by becoming a member. To join AHIA, fill-out and submit the electronic form below, or click HERE for a printable form.

The membership rates are:

Basic (Survivor, Family, Friend): $35
Professional: $50
Corporate (One Address): $200
Entry (Financial Need): $5

Please send your membership payment by check or money order to:
Alamo Head Injury Association
P.O. Box 29074
San Antonio, TX 78229-0074

Electronic Membership Form

Is this a new membership or a Renewal?

Fields with an asterisk (*) are required.

*Name:

*Address:

*City:

*State:

*Zip:

Phone:

Business Ph:

*Email:

If you will please indicate your relationship to the person who has sustained a brain injury, it will help us serve you better:

(Please choose one):

Please enter any comments or questions you have here: