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WSHHRA MEMBERSHIP ON-LINE APPLICATION

Office
Mobile
Yes
No
Clinic
Hospital
Hospital System
Long Term Care
Speciality
Business Partner
Other (Please Explain)
One Individual from an Organization: $75
Two Individuals from an Organization: $125
2-4 Inidividuals from an Organization: $150
5-10 Individuals from an Organization: $300
10+ Individuals from an Organization: $500
Business Partner: $50
Student: $20
Emeritus: $0 (If Approved by Board)
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* Required
Membership Type

*Membership is owned by the member and not the employer, therefore if a member changes organizations, it will follow the member.