Maine Public Health Association
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October 22, 2013 - MPHA's 29th Fall Conference
 
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BECOME A MEMBER

If you would like to become a member of MPHA, please click here for a PDF copy of MPHA's membership enrollment form or fill out the form below.

2014 Online Membership Form - October 1, 2013 - September 30, 2014

PLEASE MAKE SURE TO FILL OUT ENTIRE FORM.

ANNUAL MEMBERSHIP CATEGORIES
YOUR INVOLVEMENT
  Individual Memberships:
Lifetime Membership - $750
• One Individual membership for life
• Includes all member benefits plus a 20% discount on all MPHA events
   
Individual - $60
• One 2014 individual membership
   
Retiree - $25
   
Full-time Student - $10
• Qualification for student rate is 12 credit hours or more

School name:
   
  Corporate Memberships:
Sustaining Organization - $5,000
• Up to 20 Individual 2014 memberships
• 10 Fall Conference registrations
• Platinum level Fall Conference sponsorship (over a $3,000 value)
• Your logo on MPHA website
   
Alliance Organization - $2,500
• Up to 15 Individual 2014 memberships
• Your logo on MPHA website
• Gold level Fall Conference sponsorship (over a $2,000 value)
   
Advocate Organization - $1,000
• Up to 10 Individual 2014 memberships
• Your logo on MPHA website
   
Partner Organization - $500
• Up to 5 Individual 2014 memberships
   
  Additional Support:

I would like to further support the work of MPHA: please accept my additional contribution of $ to advance public health in Maine.

MPHA is only as strong as its membership. Please partner with us to help make Maine a healthy place to live.
   
Contribute to the E-newsletter on a topic of my expertise:

   
Serve on one of the following MPHA Committees:
Marketing/Membership
Tobacco Policy
Obesity Policy
Broad public health policy
Conference planning
Awards/nominations
   

Represent MPHA on an external Board or Committee

   
Help to plan an MPHA regional meeting
   

Other:

   

 

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MPHA is an affiliate of the American Public Health Association,
for more information about APHA, go to www.apha.org.