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To become a member of the Massachusetts Health Council ...
- Complete the form below.
- Print the page.
- Attach your check made payable to "MA Health Council"
- Mail your application and payment to:
Massachusetts Health Council, Inc. 73 Oak Street - 1st Floor Newton, MA 02464-1438 |
Amount due is on a sliding scale.
Please submit the appropriate amount for your organization.
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E-mail Address (very important for timely updates) |
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If information for individual requesting membership is different from above, list the differences below: |
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