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Alliance on Aging and Vision Loss
2022 Membership Form

Thank you for joining AAVL or renewing your membership. Membership dues are payable on a yearly basis.  You may either use the online Membership Form below or download the 2022 AAVL Membership Form and mail as described below.

NOTE: See our front page to read about being entered into a drawing with the chance to win $100.00 in cold cash when you join or renew your AAVL membership by February 1, 2022.

  1. If using this downloadable 2022 AAVL Membership Form, please return, along with check or money order to Kathy Gerhardt, AAVL Treasurer, 2456 Edgewater Drive, Poland, OH 44514-1724.  For questions or further information contact Kathy Gerhardt, AAVL Treasurer at 304-283-7424 or; or Jeff Thom, AAVL President, at 916-995-3967 or
  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. 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.
  4. Looking for great candy, nuts, or snacks for yourself, a gift or even an auction item? Visit our Terri Lynn webstore and help our fundraising efforts on behalf of blind and low vision older adults. To access, go to  or call 800-323-0775. If you call, be sure to let them know you are calling for the AAVL fundraiser. Thank you in advance.
    For any assistance with using PayPal, credit cards, membership, or the Terri Lynn site, please contact the treasurer, Kathy Gerhardt, at or call 304-283-7424.
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AAVL Membership Form
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