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03/18/2010

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home > members > member application Member Application Individual Member Individual Membership - $50.00 Retired Membership - $20.00 Student Membership - $20.00 Affiliate Member Regular Affiliate - $250.00 Sustaining Affiliate 1-25 employees - $500.00 Sustaining Affiliate 26-50 employees - $1000.00 Sustaining Affiliate 51-100 employees - $2000.00 Sustaining Affiliate 101-150 employees - $3000.00 Sustaining Affiliate 151 or more employees - $4000.00 Scholarship Fund   Yes, I wish to make a donation to the IPHA scholarship fund.        $ Donation Amount must be numeric.

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