Alliance on Aging and Vision Loss
Membership Form

Thank you for joining AAVL or renewing your membership. Membership dues are payable on a yearly basis.  Read more about AAVL’s ongoing membership drive. You may either use the online Membership Form below or download the 2024 AAVL Membership Form and mail as described below.

  1. If using this downloadable 2024 AAVL Membership Form, please return to Kathy Gerhardt, AAVL Treasurer, 2456 Edgewater Drive, Poland, OH 44514-1724, or email to Call Kathy at 304-283-7424, Sharon Strzalkowski, Membership Chair, at 508-363-3866 or Doug Powell, AAVL President, at 571-438-7750 for questions or information. Make checks or money orders payable to AAVL. California residents should contact CAAVL Treasurer Denise Weddle at or 310-306-8149 and Oregon residents should contact OAAVL Treasurer Leonard Kokel at or 541-888-0846 to register for membership and pay dues.
  2. If using the online Membership Form below, complete all required fields and on the confirmation page submit your dues using the PayPal button.
  3. You can also use your credit or debit card, or Zelle  to pay dues or make donations.
  4. AAVL is an IRS 501(c)(3) non-profit charitable organization and donations are tax deductible. If you desire to also make a tax deductible donation, you can do that on the confirmation page following payment of your membership dues, or go directly to the AAVL donations page
  5. For any assistance with using PayPal, credit cards, Zelle, membership, please contact the treasurer, Kathy Gerhardt, at or call 304-283-7424.
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AAVL Membership Form
Member Information