Use this form to apply for your 2018 AGA rebate. If you have any questions, please contact Betty Saltzgiver at, or 602-944-3035. All 2018 rebates will be issued on or about July 1, 2018. Joins after July 1 do not qualify for rebates.

1. First name:

2. Last name:

3. GHIN Number

4. Address

5. I have paid AGA dues to the following ARIZONA clubs.