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Associate Member Application
 
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Dues Structure: $550 Annual Fee

 
1.
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2.
Company Address:*
 

 

 

 

 

 

 

 

 
 
 
 
3.
Primary Contact Person:*
 

 

 

 
 
 
 
4.
Directory Description: Select All That Apply
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
       
 
 
 
  By submitting this agreement on behalf of your organization, you are agreeing to abide by the GHCA Constitution & Bylaws and Code of Ethics and certify that your organization is qualified for an associate membership. Contributions or gifts to the Georgia Health Care Association are not deductible as charitable contributions for Federal Income Tax purposes. However, dues payments are deductible by members as an ordinary and necessary business expense.



IMPORTANT NOTE: Once your application is completed, you may pay your $550 annual membership fee via credit card by calling (678) 289-6555. You may also mail a check to:



Georgia Health Care Association

160 Country Club Drive

Stockbridge, GA 30281
 
 
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