*I acknowledge that it is my responsibility to ensure my employer has paid the balance, or my credit card will be charged on November 20, 2025. AASL recommends that you or your accounting department submit a copy of the check through this form when issued in case delays in mail and processing could push the receipt of payment past November 20.
All data transmitted through EmailMeForm forms is encrypted using industry-standard SSL encryption as well as Mask Field setting enabled. If you would prefer to contact AASL and share information over the phone do not fill in the credit card information and someone from AASL will be in touch at the phone number entered.