• Levels

  	Individual	$30.00	Provides CHM general membership benefits for one adult.
  	Dual	$50.00	Provides CHM general membership benefits for two adults.
  	Family	$85.00	Provides CHM general membership benefits for up to two adults and the primary member's children or grandchildren under age 18.
  	Sustainer	$150.00	Provides CHM Donor Society membership benefits for up to two adults and the primary member's children or grandchildren under age 18.
  	Partner	$300.00	Provides CHM Donor Society membership benefits for up to two adults and the primary member's children or grandchildren under age 18.
  	Sponsor	$500.00	Provides CHM Donor Society membership benefits for up to two adults and the primary member's children or grandchildren under age 18.

• Level Selected:- Select Above -
• Who is this membership for?
  For Myself Gift for Someone Else
• Account Status:
• Where should we send this gift?
  To Me To Recipient
  • Send an announcement email to Recipient after checkout
• Enter the Gift Recipient's contact info (not your info): Step 4: Please enter the name and address of the recipient below. 
  Please note: This is the person you are giving the membership to.
  First Last
  Spouse First Spouse Last
• Email
• Recipient Address
  ZIP Code Street Address City Recipient State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State
• Phone
• List the individuals who will be covered by this membership: