Survey logo
Basic & Choice Associate Membership Application
Page 1 of 1
Basic Associate Membership provides your company with a year-round presence among GHCA members and daily information from GHCA to help you make solid decisions for your business.

Choice Associate Membership allows you to enhance your reach well beyond Basic Associate Membership. Choice Associate Membership provides a wealth of additional benefits that connect you with other Association members through events and activities tailored to your specific business needs.

Dues Structure:

Basic Associate Membership
$750 per Company

Choice Associate Membership
$3,750 per Company

Which category of Associate Membership are you applying for?*
Company Address:*








Primary Contact Person:*



Directory Description: Select All That Apply
  By submitting this agreement on behalf of your organization, you are agreeing to abide by the GHCA Constitution & Bylaws and Code of Ethics and certify that your organization is qualified for an associate membership. Contributions or gifts to the Georgia Health Care Association are not deductible as charitable contributions for Federal Income Tax purposes. However, dues payments are deductible by members as an ordinary and necessary business expense.

IMPORTANT NOTE: Once your application is completed, you may pay your annual membership fee via credit card by calling (678) 289-6555. You may also mail a check to:

Georgia Health Care Association

160 Country Club Drive

Stockbridge, GA 30281