Application for Membership

Start Your AIH Membership Online!
You can use the form below to start your membership online. Although we use PayPal for secure checkout, you do not need a PayPal account, you can use your credit card to renew. Just select your renewal type, click the button and complete the checkout process.
If you perfer, you can also pay/register by mail.
NOTE: Upon completion of your membership payment, you will be given the opportunity to download the membership application which requests additional information. You will need to complete this form before your membership can become active.
Paying / Registering by Mail
If you perfer to pay and register by mail, simple download the PDF Application form below. You can then print it out and mail the completed form to:
American Institute of Homeopathy
c/o Sandra M. Chase, MD, DHt, Trustee
10418 Whitehead St.
Fairfax,Virginia 22030
Download the Application Payment Form