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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 ServicesHospital/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*
 $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
 
 

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

 

 

 

  
 

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