Membership

GHA membership brings you information, resources and access to activities that are fun for the whole family. Your family can join other families that make up our vibrant and growing community.

If you’d like to join GHA, complete the application form below. The form is processed through a secure server, so your personal information is safe.

Or, if you prefer to print out and complete this Membership Form, you may mail it to the address below.

Gateway Hemophilia Association
4976 Eichelberger Street
St. Louis, MO 63109

Phone: 314.482.5973
E-mail: info@gatewayhemophilia.org

Membership Form

  • Please complete Name, Birth Date, and relationship to the person with a bleeding disorder to EVERY family member that is considered part of this membership.