Copyright 2017 - Iowa Rural Health Association

Registration: 2017 Membership in IRHA

Please select your membership type below carefully.  IRHA has three membership categories:

  • Organization (Health care organization, facilities, health-related association or agency) $190
  • Individual (health providers, academia, rural resident) $90
  • Student (undergrad or grad in health-related program) $25

 

 

USER INFORMATION
Discount Code:
First Name:
Last Name:
Organization:
Occupation:
Address:
Address 2:
City:
State:
Zip:
Email:
Confirm Email:
Phone:
Membership Category - Please select one:
Organization (includes up to three individuals; 1 primary and 2 affiliate members $190)  
Individual ($90)  
Student ($25)  
Additional Contacts for Organization Membership - Please list name and email for 2 additional contacts: