Associated  Membership

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I, HEREBY APPLY, on behalf of the hereinafter named business, for Associate Business membership in Innovative Health Alliance. I understand that as an Associate member of Innovative Health Alliance, I am entitled to all the privilege (with the exception of voting) of the Association.

The following information being supplied to you is accurate to the best of my knowledge and belief.

If you have questions, please call our office at 601-790-7033 or e-mail your questions to inha620@msn.com