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Industry Council Application

  • An appointed representative for the organization to sit on the Women in Healthcare Industry Council Board
  • Accepted file types: png, jpg, Max. file size: 2 MB.
    Please upload a high-resolution PNG or JPG of your logo. PNG with transparent background is preferred.
  • Accepted file types: eps, pdf, Max. file size: 2 MB.
    Please upload the vector version of your logo (in EPS or PDF format).
  • Five (5) complimentary individual At Large memberships for Women in Healthcare
    First NameLast NameEmail 
  • Additional Women in Healthcare memberships at a discounted rate. National will reach out to the Council POC for additional details.
    First NameLast NameEmailChapter of Interest 
    Representation of one or more corporate members at one WIH engagement effort a year. Please Indicate which efforts would be of interest to your organization. National will follow up with further details.
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  • Please mail checks to:

    Women in Healthcare
    Attn: Membership/Sponsorship
    6996 Deep Cup
    Columbia, MD 21045

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