INHAA | PO Box 272 | Rochester, IL 62563 | P: (708) 800-6161 | F: (708) 248-8078

New / Renewal Membership Application
January 1 – December 31, 2022

Administrators and Nurses can obtain quality professional education at a great value – $125 annual membership fee that is due by January 31, 2022. You will receive information on upcoming educational events, the Administrator’s Advocate monthly newsletter, and will have the opportunity to network with some of the friendliest and most dedicated professionals in the field. If the administrator of the facility is an INHAA member, additional staff from the same facility can attend the INHAA conferences at the member rate providing the administrator includes each staff member on his/her registration form. All must register on the same form to receive this discount. It is important to complete the information below, so that we have updated records for each member. Please send this completed form along with your payment for INHAA Membership 2022. INHAA FEIN #37-1219674.

    Check all that apply. Primary Position/Status:

    Check all that apply. Facility Type:

    Are you interested in being a presenter for an educational session/seminar?

    If yes, please identify the topic and add a brief description:

    2022 INHAA Convention and Trade Show Exhibit Reservation

    INHAA is the only Illinois Association designed specifically to support the educating of Administrators, Nurses and Other Healthcare Professionals.

    INFORMATION

    PO Box 272
    Rochester, IL 62563
    P: (708) 800-6161
    F: (708) 248-8078
    All Right Reserved 2022 | INHAA
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