Join AZMESA Today!

Add your name to AZMESA and join other HME providers, distributors,

and manufacturers in Arizona who want a voice in their future.

Number of Employees
Dues

1 - 25 $350.00

26 - 50
$400.00

50+
$500.00

Addition Locations
$ 75.00

Associate Members (any company involved in the manufacture or distribution of HME or industry consulting or related equipment services)
$250.00

VIP Sponsor (more info)
$750.00

Corporate Sponsor (more info)
$1000.00

Premier Sponsor (more info)
$1250.00

Please complete an application for each location.

Hme Supplier

Associate

Business Name:

Contact Name:

Address:

City State and Zip code:

Phone Number:
Ext:

Fax Number:

Email Address:

*Dues may be deductible as an ordinary and necessary business expense, but only to the extent that they are not used for legislative purposes. Thus it is our best reasonable estimate that 90% of the dues you pay in 2010 for your AZMESA membership may be deductible. Contributions or gifts to AZMESA are not deductible as charitable contributions for federal income tax purposes.

| Home | Privacy Policy | Contact Us | ©2006 AZMESA

Number of Employees		Dues
1 - 25		$350.00
26 - 50		$400.00
50+		$500.00
Addition Locations		$ 75.00
Associate Members (any company involved in the manufacture or distribution of HME or industry consulting or related equipment services)		$250.00
VIP Sponsor (more info)		$750.00
Corporate Sponsor (more info)		$1000.00
Premier Sponsor (more info)		$1250.00

*Dues may be deductible as an ordinary and necessary business expense, but only to the extent that they are not used for legislative purposes. Thus it is our best reasonable estimate that 90% of the dues you pay in 2010 for your AZMESA membership may be deductible. Contributions or gifts to AZMESA are not deductible as charitable contributions for federal income tax purposes.
Hme Supplier	Associate
Business Name:
Contact Name:
Address: City State and Zip code:
Phone Number:	Ext:
Fax Number:
Email Address: