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National Association for Home Care & Hospice
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Welcome Jane Smith

NAHC provides you with many opportunities to grow and improve your business. The experts here at NAHC work to distinguish the complexities of legislation that affects the way you do business and regulatory requirements under which your agency must operate. We bring together the collective brain trust of home care and hospice to tap the knowledge of the most successful home care businesspersons, seeking to maximize quality of care and outcomes and evolve best practices continually to advance the field as a whole.

Ready to move ahead?


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Member Information

Agency / Organization Name

CEO First Name

CEO Last Name

 

Primary Contact First Name

Primary Contact Last Name

Primary Contact Title

Primary Contact Email

Primary Contact Phone Number

Primary Contact Fax Number

Agency / Organization Mailing Address

City

State

Zip


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Membership Dues

Gross Revenues from Home Care and Hospice $ x .0024
Minimum dues amount is $550; maximum is $10,500
for 2015 $
$
$

Please select one voting section that best describes your organization. This will be used to prepare your election ballot:













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NAHC Affiliate Memberships

Please select the FREE NAHC Affiliates in which your organization would like to participate:










These NAHC Affiliate memberships require a fee to participate:

        
$
$

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NAHC News, Information and Resources

Select the Newsletters and Resources you would like to subscribe to for FREE with your NAHC Membership:
(more information)
(more information)






All employees of NAHC member organizations may subscribe to our publications and get full access to www.nahc.org! Just have them log-on to www.nahc.org using your verified member number.


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Payment Information

Your Total is: $

 

Card Holders Full Name as It Appears on Card

Credit Card Type

 

Card Number

Expiration Date
/

Security Code (3 digit number on back of card)

Billing Address (if different from above)

City

State

Zip


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