National Rural Health Association

2015 Policy Institute

Membership Form

Please fill out the following form. Required fields appear in red.

Personal Contact Information
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Membership Level
$12 - Student (open to enrolled non-industry students only)
$275 - Individual (open to non-industry representatives only)
$675 - Organization of 25 or fewer employees (up to 5 staff receive benefits)
$1,225 - Organization of 26 to 100 employees (up to 9 staff receive benefits)
$2,025 - Organization of more than 100 employees (up to 15 staff receive benefits)
$675 - Industry Organization of 25 or fewer employees (up to 5 staff receive benefits)
$1,225 - Industry Organization of 26 to 100 employees (up to 9 staff receive benefits)
$2,025 - Industry Organization of more than 100 employees (up to 15 staff receive benefits)
$375 - Rural Health Clinic/Federally Qualified Health Center
$3,500 - Supporting (up to 20 staff receive benefits)

Organization membership annual fees are based on the total number of employees.

Constituency Groups
Clinical Services
Federally Qualified Health Centers
Frontier
Hospitals and Health Systems
Public Health
Research and Education
Rural Health Clinics
Statewide Health Resources
Student

Contacts

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Student Information




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NRHA Literature
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NRHA Conference
State Rural Health Association
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Click here to download a printable application to mail or fax. 

Please contact Sharon Hutinett, member services coordinator, at 816-423-8205 or shutinett@NRHArural.org with questions.

 

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