Voting Member

Voting Membership – Annual Dues Contribution: $500*

Benefits:

• Voting rights with ACA
• Included in advocacy and other efforts by ACA
• Priority listing in ACA directory as a resource for patients and/or community needs
• Priority pilot and passenger referrals from the ACA automated referral system
• ACA seal in group directory and for use on VPO website
• Discounts on annual Air Care conference
• Opportunity to collaborate on and participate in additional VPO benefits

Affirmation 

I have read the Air Care Alliance Membership Eligibility Terms and conditions and I certify that my group meets those criteria and subscribes to the mission and principles of the Air Care Alliance.

By completing this form, I hereby affirm that the member organization operates in compliance with all applicable laws, rules, and regulations related to the conduct of nonprofit charitable organizations and with all Federal Aviation Regulations as they relate to fuel expense reimbursement and payment of pilot expenses and, if applicable, operation of aircraft by the organization.

Price:

500 for 1 Year

First Name:* First Name Required

Last Name:* Last Name Required

Organization name:* Organization name is Required

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Ambulatory patientsAir ambulanceNon patient medicalDisaster responseEnvironmentalAnimal rescueYouth educationPublic benefit flying supportNot SpecifiedOther humanitarian serviceCharitable Aviation Events

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Ambulatory patientsAir ambulanceNon patient medicalDisaster responseEnvironmentalAnimal rescueYouth educationPublic benefit flying supportNot SpecifiedOther humanitarian serviceCharitable Aviation Events

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Ambulatory patientsAir ambulanceNon patient medicalDisaster responseEnvironmentalAnimal rescueYouth educationPublic benefit flying supportNot SpecifiedOther humanitarian serviceCharitable Aviation Events

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Inflight medical attention capable?

Stretcher capable?

Children only?

Cancer patients only?

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US (all states)CanadaMexicoCentral AmericaSouth AmericaOther international

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AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontUS Virgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming

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