aamsAffilAp-March-2015-final - The Association of Air Medical

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.
Leading and Serving Transport Medicine
Membership Application located on pages 3 - 6
Our goal is to help you and your company to do more business by
promoting your services and products
in several different arenas.
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!
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
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.
Member
Benefits
Here is how we do it
Air Medical Transport Conference (AMTC)
AAMS
AAMS will send you Air Medical Journal, our weekly enewsletter News on Fly, and members' only email 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) 836-8732, or you can visit AAMS online
aams.org
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; 703-836-8920 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) 836-8732 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 E-mail:_____________________________
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
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
PERSONNEL
Main Contact
*Name: _____________________________________ *Email: _____________________________________
Title: ______________________________ Direct Phone Line: ____________________ Type: __Office | __Cell
*Voting Representative? [ ■ ] Yes [ ] No
Main Sales Representative? [ ■ ] Yes [ ] No
Alternate Contact
Name: _______________________________________ Email: _____________________________________
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?
Name: _____________________________________ Email: _____________________________________
Additional Staff
Please list here any other staff members that would like to receive our email communications.
Name: _____________________________________ Email: _____________________________________
Name: _____________________________________ Email: _____________________________________
Name: _____________________________________ Email: _____________________________________
*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 = $318.00
6 – 25 employees = $861.00
> 25 employees = $1,275.00
Please Note
If you are a national member of AAMS, $35.00 of your membership fees goes toward your subscription the Air Medical
Journal. If you are an International AAMS Member, $55.00 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 11% 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
*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 22314
Or fax to (703) 836-8920 fax; or email to esierra@aams.org.
*Total Amount of Affiliate Membership Dues Owed: $_____________ USD (See Page 3)
Do you need AAMS to send you an invoice? ____ If yes, email for invoice:____________________________
*Payment Type: ____Check ____Credit Card (Use Card Fields Below)
Card Type: ___________________ Exp. Date: _____/_____ Security #: __________
Card Number: __________________________________________________
Authorized Signature: ____________________________
Name as it appears on the card: _________________________
Billing Address: ___________________________________________________________________________
Please provide an email address for your receipt: ________________________________________________
Thank You for Your Membership!
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