Apply / Renew Membership
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There are now two ways to apply/pay for membership:
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Name: |
Title: |
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| Facility: | Certification: | |||
| Address: | ||||
| City/State/Zip: | ||||
| County facility is located in: | ||||
| Phone: | Fax: | |||
| E-mail: | ||||
| Referral Name: | If someone referred you to HHRAM, enter your name in the above box. |
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| Type of Facility: Hospital Long-Term Care/Senior Services Clinic Homecare/Hospice Integrated Health System Other: |
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I am a New Member: Yes No I am a Member of ASHHRA: Yes No |
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I am interested in serving on the following committees: |
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| Newsletter Membership Scholarship Salary Survey Program/Conference Planning Open for any committee assignment |
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| Membership Categories: | 1 Year | 2 Years | 3 Years | |
| Practitioner | $50.00 | $100.00 | $150.00 | |
| Consultant | $100.00 | $200.00 | $300.00 | |
| Emeritus | —0— | —0— | —0— | |
| Student | $25.00 | $50.00 | $75.00 | |
| Transitional Practitioner | $25.00 | $50.00 | $75.00 | |
| Corporate (up to 5 members) | $200.00 | $400.00 | $600.00 | |
| Corporate (6-10 members) | $400.00 | $800.00 | $1,200.00 | |
| Corporate (11-20 members) |
$600.00 |
$1,200.00 |
$1,800.00 |
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| If Corporate Membership, list or attach the names of members to be included: |
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MAKE CHECKS PAYABLE TO: HHRAM, Inc.
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U.S. MAIL CHECKS TO: HHRAM c/o TEAM, Inc. W175 N11117 Stonewood Drive Suite 204 Germantown, WI 53022 |
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HHRAM is looking for speakers and sponsors for our
upcoming conferences
Learn how to submit your speaking proposal HERE
Learn about sponsorship opportunities by clicking HERE.
If you are interested in helping with a conference, or if you have a topic or know of a speaker who you would recommend, please contact Jennifer Gryte, Business Partner Liaison. Watch for updates to this Webpage for the "latest" regarding the spring and fall conferences ... speakers, topics, entertainment, registration, and more!