Membership Form

Make check payable to The American Infertility Association and mail with this completed form to:

The American Infertility Association

New York, NY  10103

I want to become a member of AIA.

NOTE: Any amount above the Basic Membership rate is tax deductible.

Question regarding subscriptions should be directed to .

For faster membership service you may join by telephone using American Express, Master Card or Visa by calling .

Please print this form and mail it in with your payment.