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Application for Membership
Connecticut Healthcare Human Resources Association (CHHRA)
Membership Type :
Practitioner / Professional Individual Membership - $85 per year
Consultant / Business Partner Membership - $275 per year
Corporate Membership (6 or more members from the same organization) - $510 per year
Name :
Organization :
Address 1 :
Address 2 :
City :
State :
AL - Alabama
AK - Alaska
AZ - Arizona
AR - Arkansas
CA - California
CO - Colorado
CT - Connecticut
DE - Delaware
DC - District of Columbia
FL - Florida
GA - Georgia
HI - Hawaii
ID - Idaho
IL - Illinois
IN - Indiana
IA - Iowa
KS - Kansas
KY - Kentucky
LA - Louisiana
ME - Maine
MD - Maryland
MA - Massachusetts
MI - Michigan
MN - Minnesota
MS - Mississippi
MO - Missouri
MT - Montana
NE - Nebraska
NV - Nevada
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NY - New York
NC - North Carolina
ND - North Dakota
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
WA - Washington
WV - West Virginia
WI - Wisconsin
WY - Wyoming
Zip Code :
Telephone :
Fax :
Email :
Present Position :
Area of Expertise / Interest :
Education :
Professional Memberships :
Current Member of ASHHRA :
No
Yes
Interested in Serving on Committees :
Professional Development
Membership
Compensation and Benefits
Labor Relations
Long Range Planning
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