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Alliance on Aging and Vision Loss
Membership Form

Thank you for joining AAVL or renewing your membership. Membership dues are payable on a yearly basis.  Read more about AAVL’s ongoing membership drive. You may either use the online Membership Form below or download the 2023 AAVL Membership Form and mail as described below.

  1. If using this downloadable 2023 AAVL Membership Form, please return, along with check or money order to Kathy Gerhardt, AAVL Treasurer, 2456 Edgewater Drive, Poland, OH 44514-1724.  For questions or further information contact Kathy Gerhardt, AAVL Treasurer at 304-283-7424 or; or Sharon Strzalkowski, Membership Chair, at 508-363-3866 or Doug Powell, AAVL President at 571-438-7750.
  2. If using the online Membership Form below, complete all required fields and on the confirmation page submit your dues using the PayPal button.
  3. As an alternative to making dues payments by check, money order or through PayPal, you can use Zelle if you are a Zelle participant. AAVL participates in Zelle under the name "Alliance on Aging and Vision Loss" with an email address of and our Treasurer's phone number, 304-283-7424.
  4. AAVL is an IRS 501(c)(3) non-profit charitable organization and donations are tax deductible. If you desire to also make a tax deductible donation, you can do that on the confirmation page following payment of your membership dues, or go directly to the AAVL donations page.
  5. Looking for great candy, nuts, or snacks for yourself, a gift or even an auction item? Visit our Terri Lynn webstore and help our fundraising efforts on behalf of blind and low vision older adults. To access, go to  or call 800-323-0775. If you call, be sure to let them know you are calling for the AAVL fundraiser. Shipping is free for a $30 purchase shipping to one address. Thank you in advance.
    For any assistance with using PayPal, credit cards, Zelle, membership, or the Terri Lynn site, please contact the treasurer, Kathy Gerhardt, at or call 304-283-7424.
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AAVL Membership Form
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