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Associate/Sponsorship Renewal
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Membership Renewal Option
Please Renew Our Membership
Associate Member
Reserve Our Trade Show Space (good through August 15)
Individual Consultant Associate (Independent NHAs, Individual Consultants with no employees)
To reserve your trade show space, you must also renew your membership. Please check an associate box and the the trade show box.
Sponsorships (Includes Trade Show Space)
Bronze Sponsor
Silver Sponsor
Gold Sponsor
Company Services Provided
(Required)
Accounting
Acute Care Hospital
AI Provider
Beautician Services
Behavioral Health Services
Consulting Firm
Contract Therapy
Dental Services
Digital Services
Emergency Services
Environmental/Restoration Services
Equipment
Group Purchasing
Home Health
Hospice
Housekeeping
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Laboratory
Landscaping
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Medicaid Assistance
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Optometry Services
Personal Aides
Pharmacy
Physical Therapy
Physicians
Podiatry Services
Private Nursing
Real Estate
Rehabilitation Hospital
Robots
Speech Therapy
Staffing
Transitions
Other (write in description box below)
Company Services Provided: Other
(Required)
Describe your company’s services in a short paragraph
(Required)
TOTAL AMOUNT DUE
This form is due by July 31. Payment in full is due by August 15 to qualify for the Associate renewal trade show space price of $600. After that date, the Early Bird space cost for members will be $675 until September 30.
Payment Type
(Required)
Credit Card
Invoice
THANK YOU FOR YOUR CONTINUED SUPPORT! CONFIRMATION: You will receive a email after you submit this form letting you know DHCFA received it with a total amount due and a payment link to use if you are paying by credit card. If you choose Pay by Invoice, you will receive a follow up invoice. Questions to dhcfa@dhcfa.org
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