Acoustic Neuroma Association
600 Peachtree Parkway
Suite 108
Cumming, GA 30041

ANA Membership

Your ANA membership entitles you to the following benefits:

  • Receipt of our quarterly ANA newsletter, Notes, with the latest medical information on acoustic neuroma
  • Access to the member section of our website, which includes patient information booklets, a webinar library and a newsletter library

Your membership and donation also supports the following vital patient-focused programs including:

  • ANA Support Groups across the United States
  • ANetwork, Nationwide Peer Support Program
  • Community Connections Program
  • Research on acoustic neuroma
  • ANA Patient Registry
  • Patient education events
  • Access to our website with our ANA Discussion Forum
  • Presence on social media sites including Facebook and YouTube

Personal information gathered here are used only to mail a quarterly newsletter, inform members about support group meetings and send other official ANA mailings. Names are not used for any commercial purposes and the data is not sold. Member names are not shared with other members without first asking permission.

This site is secure for credit card transactions.

Please complete the information in this form and press the "Submit" button at the bottom.

Note that items marked with an "*" are required fields.

Please send all future information electronically.
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Annual Membership Dues (*)

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My Support of ANA

Please also consider a tax deductible contribution to ANA.
Please enter your donation amount in whole dollars, with no decimal places.

Category Amount
ANArchAngel$5000 and above
ANAngel$2500-$4999
Grand Benefactor$1000-$2499
Benefactor$500-$999
ANA Patron$250-$499
ANA Donor$100-$249
ANA Friend$50-$99

Donation Amount
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Total Dues and Donation Amount
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Matching Gift - Is your employer matching your donation?
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Please respond to a few questions so we can serve you better. All information received is confidential.


Patient Type(*)
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Tumor Size
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For future information from ANA, you can help ANA save printing and mailing expenses by accessing information online and receiving information via email.

Please email us at info@anausa.org if you wish to go electronic or have a new mailing address, email or phone number.

 

Matching Gift Information

We are so grateful for employers that match donations! So we may collect your employer's information, please complete the fields below.


(If possible, please mail, fax, or email your employer's matching gift form.)

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Tribute Gift Information


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Tribute Gift

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Payment Information

We accept Visa and MasterCard ONLY

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Only Visa accepted  MasterCard accepted accepted

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For most credit cards the CCV is 3 numbers located on the back of your credit card, near or on the signature bar.

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Consider Other Gift Options

Acoustic Neuroma Legacy Society: A planned gift today is a wonderful way to pass on your legacy tomorrow. Planned gifts include bequests, appreciated assets such as stocks, charitable remainder trusts and charitable gift annuities.

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