2019 AAMS Affiliate Membership Application

Transcription

1 Photos courtesy of Mark Mennie. What is the Value of AAMS Membership? Association of Air Medical Servies (AAMS) is a voluntary, non-profit trade association representing over 700+ companies, programs and individuals. Established in 1980, AAMS is the longest-serving and most well established association representing the global air and critical care ground medical transport community. As a member of AAMS, you and your staff can play a vital role in our industry s future, by guiding AAMS on how to lead the air and critical care ground medical transport community into the future. Your voice as a member is vital to AAMS. Our unique industry, as part of a much larger healthcare system, is challenged daily to meet the everchanging demands from the public that we serve, while still maintaining standards of performance reflecting safe, efficient operations and high quality patient care. Our association is built on the idea that representation from a variety of medical transport services, businesses and individuals can be brought together to share information, collectively resolve problems and provide leadership. Our members are the leaders, decision makers, movers and shakers your peers in the critical care medical transport industry and in our communities. AAMS Membership will give you and your staff ample networking, learning and volunteer opportunities. What s the value of these opportunities? Priceless AAMS Affiliate Membership Application For Companies Who Sell Products or Services to Air Medical & Critical Care Ground Ambulance Industry Leading and Serving Transport Medicine Membership Application located on pages 3-6

2 Here is how we do it Our goal is to help you and your company to do more business by promoting your services and products in several different arenas. AAMS Member Benefits Air Medical Transport Conference (AMTC) AMTC hosts nearly 2,500 national and international flight, ground and clinical attendees as well as nearly 300 of your exhibiting peers. The conference provides you the opportunity to be face to face with 2,600 of your current and potential customers. As a member of AAMS - you will qualify to receive discounted exhibitor rates for AMTC! Shipping Discounts AAMS Shipping Program, managed by PartnerShip, is a comprehensive inbound and outbound shipping program that combines simplicity, savings, and value to all AAMS members. As the AAMS-endorsed shipping management provider, PartnerShip works with nationally known carriers to provide unparalleled customer service and significant savings on every shipment. Visit PartnerShip.com/AAMS for complete program information. Marketing Opportunities You will receive discounts on AAMS Career Center s Job Board and huge marketing discounts in AAMS Weekly E-Newsletter News on the Fly. Your company will be featured for free in AAMS online directories as a Thank You for being an AAMS Member! Industry Research & Resources AAMS will send you Air Medical Journal, our weekly e- newsletter News on Fly, and members' only alerts. We do this to keep you up-to-date on the issues, the technology and the government policies that affect how you shape your message to your customers. You will also have access to our website s Members Only Section. Our website gives you access to everything you need to know 24 hours a day. Let AAMS give you the information you need to reach your target audience. Please contact the AAMS office to learn more at (703) , or you can visit AAMS online aams.org

3 Affiliate Membership Application Affiliate membership is limited to any person, partnership, corporation or other business entity, which provides a product or service to the medical transport industry. "Products and/or services" are defined as a manufacturer directly engaged in the manufacturing or development of helicopters, airplanes and/or ground ambulances, or affecting a certified product to the industry; a supplier or service group providing supplies or services for helicopter, airplane and/or ground ambulance operators; or a manufacturer of equipment integral to helicopter, airplane and/or ground ambulance operations. Instructions: Please fill out this form completely and send to AAMS, 909 N. Washington Street, Suite 410, Alexandria, VA 22314; fax; or esierra@aams.org. Please include your credit card number, or check made payable to: Association of Air Medical Services in U.S. Dollars. Applications will not be processed until full payment has been received. Please contact AAMS at (703) if you have any questions. APPLICANT GENERAL INFORMATION *Company Name: *Mailing Address: Suite/Building/Hanger#: *City: State: Zip: Country: *Business Phone: Business Fax: Website: General Office Social Media: [ ] Facebook [ ] Google+ [ ] Twitter [ ] YouTube [ ] LinkedIn Other Sites: COMPANY PROFILE *Please describe your company for the AAMS Directory: *Please select all of the categories listed below, which best describe the Products & Services your company has to offer to customers. If none of the categories fit, briefly explain this below. Category Aircraft Accessories Associations/Clubs Aviation Fuel Aviation Insurance Avionics/Airframe - Loran/GPS Ambulance/Aircraft Interiors Apparel Appraisals Aviation Financing Billing Services & Consulting Communications Equipment Consultants Page 3 of 6

4 Aircraft Sales - Fixed Wing Aircraft Sales - Rotor Wing Aircraft Engines/Motors Education/Training Services Education/Training Materials Ground Ambulance Services Ground Ambulance Manufacturer Ground Support/LZ Equipment Heliport Design/Equipment Insurance Legal Services Medical Equipment/Supplies Aircraft Manufacturers - Fixed Wing Marketing Services Aircraft Manufacturers - Rotor Wing Aircraft Operators Other Pharmaceuticals Personnel Services Publishers Rescue Equipment Maintenance/Repair & Overhaul Services Personal Safety Equipment Air Medical Support Services Specialty Advertising/Promo Items Weather Reporting Aviation - Safety Equipment Navigation/Instrumentation Aviation - Options/Modifications Aviation - Autopilot/Stabilization Night Vision None of the codes fit what your company does? Please explain: Please mark activities that your company is interested in: [ ] Sponsorship Opportunities [ ] AMTC Exhibiting [ ] Advertising Opportunities Why are you joining AAMS? (If you were referred to AAMS, please indicate who referred you here) Page 4 of 6

5 PERSONNEL Main Contact *Name: * Title: Direct Phone Line: Type: Office Cell *Voting Representative? [ ] Yes [ ] No Main Sales Representative? [ ] Yes [ ] No Alternate Contact Name: Title: Direct Phone Line: Type: Office Cell Voting Representative? [ ] Yes [ ] No Main Sales Representative? [ ] Yes [ ] No Online Administrator (If different than the main contact) Who will be responsible for updating company info online? Additional Staff Please list here any other staff members that would like to receive our communications. *MEMBERSHIP DUES The Affiliate Member sliding dues scale is based on number of employees. An employee is defined as anyone who works for your company including but not limited to: persons employed in your main location; consultants; and satellite office employees. Both full-time and part-time employees should be included in your calculations. *How many employees dose your company have? 1-5 employees = $ employees = $ > 25 employees = $1, Please Note If you are a national member of AAMS, $39.00 of your membership fees goes toward your subscription the Air Medical Journal. If you are an International AAMS Member, $59.00 goes toward your subscription of the Air Medical Journal. * AAMS dues are not deductible as a charitable deduction for federal income tax purposes, but may be deductible as a business expense. AAMS estimates that 25% of your dues are not deductible as a business expense because of AAMS lobbying activities on the behalf of its members. International Discounts: Discounts of up to 20% off the standard dues rate will be available to members outside the United States if they are located in countries where the purchasing power of their currency is less than 80% of that in the United States. The discount will be calculated proportionally based on the comparison of purchasing power of the specific country with that of the US. Please Continue to Page 4 to Complete Your Membership Dues Payment Page 5 of 6

6 *PAYMENT INFORMATION If you would like to make a charitable and tax-deductible donation to the MedEvac Foundation International, please write in the amount you would like to donate here: $ USD Thank You! *Please send completed order form and payment to: Association of Air Medical Services 909 N. Washington Street Suite 410 Alexandria, VA Or fax to (703) fax; or to esierra@aams.org. *Total Amount of Affiliate Membership Dues Owed: $ USD (See Rates Located on Previous Page) Do you need AAMS to send you an invoice? If yes, for invoice: *Payment Type: Check ARCH Payment Credit Card (*fee applicable, see note and fields below) CHECK PAYMENT If known, please provide the check number here: ARCH/WIRE PAYMENT (U.S. Domestic ONLY) - Bank name: Capital Bank - Bank address: One Church St., Suite 300, Rockville, MD Phone no: Account no: Routing no: If you wish to make an international wire payment, please contact AAMS Membership Director Elena Sierra at esierra@aams.org CREDIT CARD PAYMENT **All credit card payments made to AAMS are subjected to a 2.5% credit card administration fee. If you accept paying this credit card processing fee, please fille out your information below: Card Type: Exp. Date: / Security #: Card Number: Authorized Signature: Name as it appears on the card: Billing Address: Please provide an address for your receipt: Thank You for Your Membership! Page 6 of 6