Child Life Supporter Membership Application

Child Life Supporter Membership Application

FOR NONPROFIT ORGANIZATIONS
Show your support for child life, stay connected with ACLP throughout the year, and enjoy benefits specifically designed for organizations with the ACLP Child Life Supporter Membership.

Membership connects you to a network that spans across the nation.

Pricing

Membership as a child life supporter is determined by the type of package that best suits your organization. If your organization has a 501(c)3 nonprofit status, you are eligible to receive a 25% discount on Standard, Silver, Gold, or Platinum levels. Other non-profit designations will be considered on a case-by-case basis.

Standard | Regular Rate: $599 | Nonprofit Rate: $449.25
Benefits Include:
- Annual Child Life Supporter badge to broadcast your support of child life to your customers.
- Listing on our dedicated Child Life Supporter page that describes your organization and includes a link to your site.
- Listing in the Annual Report
- Recognized support in board meetings, press interviews, and public speeches.
- Includes 1 sub-account member slot for your employee. (Additional memberships can be purchased at the current Healthcare Ally membership rate).
- Special recognition for Child Life Supporters that exhibit at the Child Life Annual Conference
- Priority placement for exhibitor opportunities based on availability during time of submission

Silver | Regular Rate: $799 | Nonprofit Rate: $599.25
Benefits Include:
- Annual Child Life Supporter badge to broadcast your support of child life to your customers.
- Listing on our dedicated Child Life Supporter page that describes your organization and includes a link to your site.
- Listing in the Annual Report
- Recognized support in board meetings, press interviews, and public speeches.
- Includes 2 sub-account member slots for your employees. (Additional slots may be purchased at the current Healthcare Ally Rate).
- Special recognition for Child Life Supporters that exhibit at the Child Life Annual Conference
- Priority placement for exhibitor opportunities based on availability during time of submission
- 10% discount on exhibit hall booth through the members-only pre-sale for the Child Life Annual Conference

Gold | Regular Rate: $1,500 | Nonprofit Rate: $1,125
Benefits Include:
- Annual Child Life Supporter badge to broadcast your support of child life to your customers.
- Listing on our dedicated Child Life Supporter page that describes your organization and includes a link to your site.
- 1 Free ACLP Program Leaders Mailing List
- 1 Free ACLP Monthly Ad per year
- Listing in the Annual Report
- Opportunity to host a virtual info session about your product or services once per year
- Recognized support in board meetings, press interviews, and public speeches.
- Includes 5 sub-account member slots for your employees. (Additional slots may be purchased at the current Healthcare Ally Rate).
- Special recognition for Child Life Supporters that exhibit at the Child Life Annual Conference.
- Priority placement for exhibitor opportunities based on availability during time of submission
- 10% discount on exhibit hall booth through the members-only pre-sale for the Child Life Annual Conference
- Free exhibitor booth enhancement with purchase of the exhibitor booth for Annual Conference
- 1 Free tote bag insert
- 2 Free Child Life Conference Registrations

Platinum | Regular Rate: $5,000 | Nonprofit Rate: $3,750
Benefits Include:
- Annual Child Life Supporter badge to broadcast your support of child life to your customers.
- Listing on our dedicated Child Life Supporter page that describes your organization and includes a link to your site.
- 1 Free ACLP Program Leaders Mailing List
- 3 Free ACLP Monthly Ads per year
- Listing in the Annual Report
- Opportunity to host a virtual info session about your product or services once per year
- Recognized support in board meetings, press interviews, and public speeches.
- Includes 5 sub-account member slots for your employees. (Additional slots may be purchased at the current Healthcare Ally Rate).
- Special recognition for Child Life Supporters that exhibit at the Child Life Annual Conference
- Priority placement for exhibitor opportunities based on availability during time of submission.
- Free exhibitor booth with enhancement included. *Based on availability.
- 1 Free tote bag insert
- 2 Free Child Life Conference Registrations

Company Information
Company Name
Company website URL:
Email address for profile:
Company Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Tell us about your sesrvices/products:*

0/200
Nonprofit Status Verification
Please select how you would like to verify your nonprofit status from the following options.*
Please provide your EIN
For example: 12-3456789
Please upload a copy of your IRS letter of determination.

Cancelof

Membership Information
Please select the level of membership you would like to purchase.*

Standard $449.25Silver $599.25Gold $1,125.00Platinum $3,750.00
Please provide a contact who will be the admin to this account:*
Included memberships:
Member 1:
Member 2:
Member 3:
Member 4:
Member 5:

ACLP Professional Code of Conduct
The submitter of this form must sign and agree to ACLP's Professional Code of Conduct.
Name

First NameLast Name
Email
example@example.com
By signing below, you agree to follow the ACLP Professional Code of Conduct.*

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