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Organizational Membership Application

  • Billing Information

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  • Organization Contact Information

  • The representative serves on the Governing Membership of the National Health Care for the Homeless Council and is also the contact person for all Council business.
  • If your Organizational Representative is unreachable, who may we contact?
  • This is where your membership packet will be sent.

This website is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $1,625,741 with 20 percent financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.

Copyright © 2019 National Health Care for the Homeless Council, Inc. 

PO Box 60427 | Nashville, TN 37206 | (615) 226-2292
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