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About WVHA
Associate Member
Associate Membership Application Form
About WVHA
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Mission Statement
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West Virginia Hospitals
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Associate Member
Associate Membership Application Form
Benefits of Associate Membership West Virginia Hospital Association
Professional Membership Groups
Associate Membership Application Form
Annual Membership Dues: $850
I hereby apply for Associate Membership for the West Virginia Hospital Association.
Membership Information
Associate Membership Application
Organization:
(Required)
Conact Person:
(Required)
Title:
(Required)
Address:
(Required)
City:
(Required)
State:
(Required)
Zip:
(Required)
Email:
(Required)
Telephone:
(Required)
Company Web Address:
(Required)
Name of CEO/President:
(Required)
Signature:
(Required)
General Information:
(Required)
Please furnish a brief statement (1,000 characters with spaces limit) explaining the principal function and purpose of your organization and its relationship to West Virginia’s health care industry. This will be used in the WVHA Membership Directory and on the WVHA home page.
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