Organizational Affiliate Benefits-at-a-Glance AcademyHealth organizational affiliates at any level enjoy these member benefits: Gain Visibility Announce new publications, organizational changes, or new resources and tools in Partners, our monthly member e-newsletter exclusively for organizational affiliates. Place an organization highlight with a link to your website in Member Update, our weekly members-only e-newsletter (space limits apply). Publish a blog post on issues in health services research and health policy to blog.academyhealth.org (subject to editorial review). See your organization listed on AcademyHealth’s website and in our Annual Research Meeting (ARM) and National Health Policy Conference (NHPC) agenda books. Sponsor awards and scholarships for AcademyHealth members. Sponsor sessions at the Annual Research Meeting (ARM) or the National Health Policy Conference (NHPC). Keep Up-to-Date Learn from a complimentary print and online subscription to HSR. Receive complimentary online access to The Milbank Quarterly. Save Money Save big with 50 percent off ARM exhibit space. Take advantage of 10 percent off NHPC display space. Enjoy 25 percent off ARM and NHPC advertising. Network with Leaders Network with industry leaders and other organizational affiliates at AcademyHealth conferences and events. Advocate for the Field Support and engage in AcademyHealth’s advocacy for: – Funding to support health services research. – High quality and accessible data for research. – Academic freedom to conduct and distribute research. And these benefits vary, depending on your membership level: Affiliates Supporting Affiliates Contributing Affiliates Registration Discounts for the Annual Research Meeting, the National Health Policy Conference, and Concordium. 5 Staff 10 Staff 15 Staff Complimentary Membership List Rentals This targeted mailing list will help you get information into the right hands. 2 Uses 3 Uses 4 Uses Discounts on Career Center Advertising Listing your position openings through our Career Center is a cost-effective way to reach your target audience. 10% 20% 30% Organization is Highlighted on AcademyHealth’s website — Yes Yes Scholarships and Program Development A portion of your dues will support reduced registration fees and scholarships for AcademyHealth programs and the development of new programs. — Yes Yes $2,000 $5,000 $10,000 Dues AcademyHealth • 1150 17th St., NW, Suite 600, Washington, DC 20036 • membership@academyhealth.org • tel: 202.292.6700 • fax: 202.292.6805 Organizational Affiliate Membership Application 1. Level of Affiliation (select one) Dues Amount r Contributing Affiliate $10,000 r Supporting Affiliate $5,000 r Affiliate $2,000 2. Method of Payment ­­(made payable to AcademyHealth in U.S. dollars) Please do not staple check to form. r Check r Visa r MasterCard r American Express r Discover Name of Cardholder: (please print) Card Number: Expiration Date: Security Code: AcademyHealth Federal Taxpayer ID No.: 52-1260918 3. Contact Information (please print) Organizational Contact (Name and Title) Name of Organization AddressCityStateZip PhoneFax Email Website (To be used for link from AcademyHealth website) 4. Please mail or fax this form to: Membership AcademyHealth 1150 17th St., NW | Suite 600 | Washington, DC 20036 202.292.6700 PHONE | 202.292.6805 FAX www.academyhealth.org For more information please contact our membership department at membership@academyhealth.org Organizational affiliate dues are apportioned as follows: Membership Services Advocacy for Research Scholarships and Funding and Policy Program Developement Total Due Contributing Affiliate $3,000 $3,000* $4,000 $10,000 Supporting Affiliate $2,000 $2,000* $1,000 $5,000 Affiliate $1,000 $1,000* $0 $2,000 * For groups including foundations and government agencies where contributions to advocacy for research funding and policy are prohibited, this portion of your dues will be allocated to membership services. A portion of your dues expense may be tax deductible. Please consult your tax advisor for more information. AcademyHealth is the professional home for health services researchers, policy analysts, and practitioners, and a leading, non-partisan resource for the best in health research and policy.