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Register and Pay Online - Allied Membership

Online Registration is a Two-Step Process:

1. Fill out the registration form below. The information provided will be published in the AHCA Directory. Please complete this form as completely and accurately as possible.

2. After submitting this form, please click on the payment button on the next page to advance to our secure online payment solution.

Allied Membership is $90.00 annually.

You may also choose to register for the AHCA Convention at this time.

N O T E ! Convention fees are:
Division I NCAA Coach or Division 1 NCAA Support Staff - $185 per individual.
All Others - $165 per individual. These rates are if paying before March 1, 2018.
After April 1, the fee is $200 per person for everyone!

Name:

Institution/Team/Company:

Mailing Address:
Street Address:
Town/City:      State:      Zip Code:

Office Phone:
Office Fax:

E-mail:

Affiliation (Please choose one option below):
Athletic Administrator
Equipment Manager
Media
On-Ice Official
Rink Manager
Sales/Exhibitor
Trainer
Other       Please explain:

Convention Registration (Please choose one option below):
If you would like to register and pay your AHCA Convention fee at the same time, please let us know by choosing a selection below. The convention fee is $165. It will go up to $200 on April 1.

I'd like to also register for the convention
I do not want to register for the convention at this time

Stops and Starts Newsletter (Please choose one option below):
Would prefer to receive our newsletter, "Stops & Starts," electronically, as opposed to a hard copy in the mail?
I'd like to receive Stops and Starts electronically
I'd like to receive Stops and Starts by mail

If you have any membership questions, contact Kathy Bertagna via ahcahockey@comcast.net.