AVAHO IRC Membership

AVAHO IRC Membership
The Industry Relations Council is an advisory council of selected individuals representing a variety of corporations and nonprofits whose products and services benefit veterans with cancer and hematological disorders.

Membership is by application and open to those who wish to participate in shaping AVAHO priorities and building ethical, meaningful relationships between industry representatives and medical professionals working with veterans.

Please complete the form below if you wish to join AVAHO's Industry Relations Council. Once your form has been submitted and reviewed, you will receive an email confirming your IRC membership.
Company Name*
First Name*
Last Name*
Mobile Number*
Company E-mail Address*
example@example.com
Job Title*
Advanced Degree (if applicable):
Please leave blank if not applicable.
Have you served or are currently serving in the US Military?*

N/AArmyAir ForceCoast GuardMarinesNavyPublic HealthOther
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Membership
Membership

I am a new member joining today for 2026 (Jan 1 to Dec 31) ($4,000)I am a current member and want to renew my membership by paying my 2026 dues ($4,000)
Payment options

Pay by check or ACHPay by credit card (includes 3% service charge)
Procurement Contact (if applicable)

First NameLast Name
Procurement Email (if applicable)
example@example.com
Membership Dues
prevnext( X )
2026 Dues
$4,000.00 Quantity

Subtotal

$0.00

Tax

$0.00

Total

$0.00
To pay by check, please mail to the address below:

Association of VA Hematology/Oncology
6817 208th St SW #90
Lynnwood, WA 98046

If you have any questions or concerns, please contact JoAnn Wahl at joann@avaho.org.
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