Member

Thank you for your interest in the PROMIS Health Organization. We have several membership categories: Individuals: $100/yr; Students & Emeriti (Emeriti: retired individuals no longer affiliated with an academic or governmental organization): $50/yr; Institutional (Non-Profit Organizations) can register 7 representatives: $500/yr; Corporate - can register 5 representatives: $1000/yr. Choose one of the options below and you won't have to renew until December 31, 2017.

Business Information

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Mailing Address

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Primary Contact Information

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Address

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Membership Options

Membership Package: *

Individual Membership: $100.00
Student Membership : $50.00
Students - Please send us proof of your student status; Emeriti: $50.00
Please send former association (Academic or Government Agency) Institutional Membership (Non-Profits): $500.00
May register up to 7 representatives. Corporate: $1,000.00
Corporate members will have recognition on the PHO website and all written materials. May register up to 5 representatives.

Payment Option:

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Mailing Address

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