

| Membership Information |

| Click the link below, print, complete and return the application to Revecca Jones, RHIA as addressed on the application form, or you may submit payment below and e-mail the information to hahima07@yahoo.com. MEMBERSHIP APPLICATION |
| Student Member Registration $7.50 |
| Corporate Member Registration $300 |
| Active or Associate Member Registration $15 |
Sponsor a Meeting |
| Corporate members: please click on the link below, print, complete and return as addressed on the application form, or you may submit payment below and e-mail the information to diane52@kingwoodcable.com. CORPORATE MEMBERSHIP APPLICATION |