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Search for:
Global Ageing Network Business Member & Sponsor Application
January 1 - December 31, 2026
Company Information
Company Name
Mailing Street:
City:
State/Province:
Zip/Postal Code:
Phone:
Website:
Company Contacts
Primary Contact:
Title:
Phone:
Email:
Secondary Contact:
Title:
Phone:
Email:
Product/Service Category
Please choose a primary category and, if applicable, a secondary category:
1st Choice:
Please select...
Accounting
Accreditation
Actuarial
Adult Day Services
Advertising
Appliances
Architecture
Assn/Education
Banking
Bathing Systems
Bedding
Billing Services
Brain Fitness
Brand Identity
Building Equipment/Products
Communication Systems & Services
Computer/Data management/Software
Construction
Consulting
Dairy Supplier
Dementia Engagement
Design/Build
Development Services
Disaster Response
Distribution
E-Learning for Staff Training and Development
Electronic Medical Records
Emergency Response Systems
Engineering
Entertainment
Environmental Services
Executive Search/Recruitment
Facility Management
Federal Government Assistance
Financial Services
Fire Safety/Prevention
Flooring
Food Management
Food Service
Fundraising/Business Development
Furniture
Government Agency
Group Purchasing
Hand Hygiene
Housekeeping
Human Resources Systems/Services
Identification Systems
Information Technology
In-Home Health Care Products and Services
Insurance
Interior Design
Internet Services
Legal Services
Lifts
Lighting
Maintenance Supplies
Management Services
Marketing & Communications
Master Planning
Meal Delivery Systems
Medical Products & Services
Nutrition Management
Office Supplies
Ozone Systems
Pest Control
Pharmaceutical
Pharmacy Services
Procurement Services
Project Management
Publishers
Quality Improvement
Real Estate
Rehabilitation/Therapy Services
Research
Resident Care and Personal Products & Services
Resident Monitoring
Retirement Planning
Safety
Seating
Signage
Technology Assistive Devices
Telehealth Products & Services
Transportation
TV Systems
Utilities
Wander-Fall Prevention
Wellness Programs & Equipment
Wireless Communications
2nd Choice:
Please select...
Accounting
Accreditation
Actuarial
Adult Day Services
Advertising
Appliances
Architecture
Assn/Education
Banking
Bathing Systems
Bedding
Billing Services
Brain Fitness
Brand Identity
Building Equipment/Products
Communication Systems & Services
Computer/Data management/Software
Construction
Consulting
Dairy Supplier
Dementia Engagement
Design/Build
Development Services
Disaster Response
Distribution
E-Learning for Staff Training and Development
Electronic Medical Records
Emergency Response Systems
Engineering
Entertainment
Environmental Services
Executive Search/Recruitment
Facility Management
Federal Government Assistance
Financial Services
Fire Safety/Prevention
Flooring
Food Management
Food Service
Fundraising/Business Development
Furniture
Government Agency
Group Purchasing
Hand Hygiene
Housekeeping
Human Resources Systems/Services
Identification Systems
Information Technology
In-Home Health Care Products and Services
Insurance
Interior Design
Internet Services
Legal Services
Lifts
Lighting
Maintenance Supplies
Management Services
Marketing & Communications
Master Planning
Meal Delivery Systems
Medical Products & Services
Nutrition Management
Office Supplies
Ozone Systems
Pest Control
Pharmaceutical
Pharmacy Services
Procurement Services
Project Management
Publishers
Quality Improvement
Real Estate
Rehabilitation/Therapy Services
Research
Resident Care and Personal Products & Services
Resident Monitoring
Retirement Planning
Safety
Seating
Signage
Technology Assistive Devices
Telehealth Products & Services
Transportation
TV Systems
Utilities
Wander-Fall Prevention
Wellness Programs & Equipment
Wireless Communications
Join
Global Ageing Network
I agree to join Global Ageing Network at the following level:
Business Member: $3,000
Become a Sponsor - Supporter: $5,000
Become a Sponsor - Thought Leader: $20,000
Payment Method
Total Payment Due (USD):
Payment Method:
ACH or Wire Transfer (*)
Check (Payable in U.S. Dollars to LeadingAge)
Credit Card (MasterCard, VISA, AMEX, Discover)
(*)
View the
ACH and Wire Transfer instructional PDF
Card Payment Information
Name on card:
First Name:
Last Name:
Card Number:
Security Code:
Expiration:
MM
YYYY
Card Billing Street
Suite/Apt/Unit
City
State
Zip
Billing Confirmation Email
Terms and Conditions
Please read and agree to the terms and conditions in order to proceed:
The sponsorship and/or membership selected is based on a calendar year, January through December 2026.
Payment in full is due with the application.
The applicant has reviewed the benefits offered by the association* at the level requested.
If for any reason any of the benefits listed cannot be activated by the association, benefits equal to, or comparable will be offered.
Cancellation of the partnership may be requested within 7 days of application acceptance and confirmation.
After such time, this is a binding agreement for partnership, no cancellations will be accepted, and all partnership fees will have to be paid as originally agreed upon.
Error:
Engagement
How did you hear about the Global Ageing Network:
I was a member previously
Online search engine
Friend/Colleague
Email about the program
Contacted by LeadingAge Sales Team
State Association Staff
Other
Please provide further details:
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