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 2010-2011 Dues Statement

 Annual dues are now payable for June 2010 - May 2011.  Payment of dues makes you an “active” member with voting privileges.  Dues and the annual phonathon are the only funding sources this Association has and many of you donate to both, which is greatly appreciated!

 Even if you choose not to contribute, please use this form to update your current information.  You are always an alumnus of this program and we want to stay in touch!

 NAME / TITLE:                                                                                                                                  

ORGANIZATION:                                                                                                                              

PROFESSIONAL AFFILIATIONS & STATUS: (ACHE, MGMA, HMFA, ETC.) ___________

PREFERRED MAILING ADDRESS (HOME/business): ________________

                                                                                         home                                                                            business

ADDRESS

 

 

CITY

 

 

STATE

 

 

ZIP

 

 

PHONE

 

 

FAX

 

 
CELL    

EMAIL

 

 

 • AMOUNT OF DUES:  (Circle One):

 ►►FREE (1st Yr. Post Graduation);  $35.00 (2nd Yr. Post Graduation);  $60.00 (3rd Yr. Post Graduation & Beyond).◄◄

 •       I would be willing to assist on the following committee if needed:  (Circle One):

 Finance                 Membership                        Special Events                    Publications

 ·          Make your check payable to:  T.U.A.A.H.C.A. (Trinity University Alumni Association Health Care Administration).

 Please send your payment to:                                                      Trinity University
                                                                                        Department of Health Care Administration
                                                                                                    One Trinity Place, Box 58
                                                                                                San Antonio, Texas  78212-7200

THANK YOU FOR YOUR SUPPORT!