Unemployed Membership Application

Thank you for your interest in becoming an OPHA member for 2020/21. Membership will end March 31, 2021. Please complete all applicable sections of the following form.

An Unemployed Member is an individual who is a graduate of a recognized public or community health program or has been employed in public and community health and is actively seeking employment.

 
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Your paid membership includes access to our monthly electronic publications and updates. Please indicate how you would like to stay in touch with the OPHA below.

Note: We value your privacy, and you can subscribe or unsubscribe from any of these services at any time

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I wish to apply for a reduction of my OPHA membership fee for the duration of the membership year. Should I return to work prior to December 31 of 2019 I am required to inform the registration department and will be required to provide payment appropriate to my membership status.
Credit Card
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Billing Name and Address
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