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Health Care Communicators of San Diego

PO Box 936
3830 Valley Center Drive, Suite 705
San Diego, CA 92130
 


Health Care Communicators of San Diego Membership Application

As a member of HCC you'll hear about interesting luncheon topics in the coming months, begin receiving our informative e-newsletter and make valuable professional contacts each time you attend an HCC event.
 
Section 1: User Information
First Name*
  
Last Name*
  
Initials
  
Company/Organization*   
 
Title/Position
  
Mailing Address*
  
City*
  
State*
  
Zip Code*
  
Country
  
Business Phone
  
Home Phone
  
Mobile Phone
  
Pager
  
E-mail*
  
User Name*
  
Password*
confirm password 		 
Business E-mail
  
Company Size
<30 employees
30-100 employees
>100 employees
 
Description of Services
Hospital/Health Care System
Non-Profit Association
Biotech/Pharmaceutical Medical Device Company
Health Plan/Insurance Company
Advertising/PR/Marketing Agency
Government Agency
Vendor/Sponsor
Other
 
Suggest a luncheon topic/speaker   
 
 
Section 2: Membership Information
Referred By Health Care Communicators of San Diego Member
Member ID#
  
Referred by Other
  
 
Section 3: Membership Type
Membership Type*
 $50.00 - Board Member
$100.00 - Individual Member
$100.00 - Corporate Member
$85.00 - Additional Corporate Member from the Same Company
$25.00 - Student Member
$150.00 - Vendor/Sponsor Member
 
 
Section 4: Payment
Payment Method*
    Credit card
    Check
 
 
Section 5: Committees
HCC Committees in which you are interested
Health Care Communicators of San Diego Newsletter
 
 

For security reasons,

type in the code below:

Play Sound
 
 
For more information:
Stacy Kadrich, Membership Chair
For meeting information:
HCC Hotline
(760) 736-1656
 

 

 

 

  
 

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