Member Application - Organization

    MEMBER INFORMATION

    *If not, please consider joining our national professional organization (www.ashhra.org)

    HOSPITAL/ORGANIZATION INFORMATION

      Clinic
      Hospital
      Hospital System
      Long-Term Care
      Specialty
      Business Partner
      1 Individual from an Organization - $75
      2 Individuals from an Organization - $125
      3-4 Individuals from an Organization - $150
      5-10 Individuals from an Organization - $300
      10+ Individuals from an Organization - $500