American Hockey Coaches Association

Time To Pay Your AHCA Dues - REGISTER AND PAY ONLINE
2011-2012 ALLIED MEMBERSHIP

Online Registration is a Two-Step Process:

1. Fill out the registration form below. The information provided will be published in the 2012 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 $75.00 annually.

You may also choose to register for the 2012 AHCA Convention at this time. The convention fee for 2012 is $125. It will go up to $150 on March 1.

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 2012 AHCA Convention fee at the same time, please let us know by choosing a selection below. The convention fee for 2012 is $125. It will go up to $150 on March 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.