The Maine Public Health Association

SAVE THE DATE

August 05, 2010 - Childhood Obesity Prevention

August 17, 2010 - Maine Telemedicine Summit

October 05, 2010 - MPHA Annual Meeting

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.

2009-2010 Online Membership Form

PLEASE MAKE SURE TO FILL OUT ENTIRE FORM.

ANNUAL MEMBERSHIP CATEGORIES

YOUR INVOLVEMENT

STATUS: NEW MEMBERVVV RENEWAL


	Individual - $50 • One 2010 individual membership

	Full-time Student or Retiree - $10 • Qualification for student rate is 12 credit • hours or more

	Partner Organization - $500 • 2 individual 2010 memberships

	Lifetime Membership - $750 • One individual membership for life • Includes all member benefits plus a 20% • discount on all MPHA events

	Advocate Organization - $1,000 • 5 individual 2010 memberships • Your logo on MPHA website

	Alliance Organization - $2,500 • 5 individual memberships • Your logo on MPHA website • Gold level meeting sponsorship

	Sustaining Organization - $5,000 • 10 individual memberships • 10 Annual Meeting registrations • Platinum level meeting sponsorship • Your logo on MPHA website

	I would like to further support the work of MPHA, please accept my tax-deductible contribution of $ to assist MPHA in advocating for public health in Maine.

Are you interested in becoming actively involved in MPHA?


	E-news contributor on topic of my expertise:

	MPHA Committee Membership benefits Communication & Marketing Policy/advocacy Annual meeting planning

	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.

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