LeafOnlyThank you for joining PAHIC! We look forward to partnering with you.

Please fill out the application form below and then use the link to pay your membership dues:

Type of Membership
Your Name
Company Name
Address 1
Address 2
Zip Code
Telephone #
Below fields for Business Applicants only
Contact Name for Web Profile
Contact Phone
Company Website
Tax ID
Business Type
Company Description
Certifications and Affiliations

Once we review your application we will send you a confirmation email and contact you about building your web profile (business memberships only). If you have not already done so, please purchase your membership here.