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Associate Membership Application Form

Annual Membership Dues: $850

I hereby apply for Associate Membership for the West Virginia Hospital Association.
Membership Information

Please furnish a brief statement (1,000 characters with spaces limit) explaining the principal function and purpose of your organization and its relationship to West Virginia’s health care industry. This will be used in the WVHA Membership Directory and on the WVHA home page.

Enter security code:
 Security code


For more information, please contact Kathy Watts