IAHPC Individual Membership Application
Join/Renew
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The information we collect about you is only to be used by IAHPC for the purpose of this transaction. It will not be sold or shared with other individuals or organizations.
If you would like to review the information that we collect from you for this transaction, have any concerns, or need to request a correction, please contact us.
SECURE ORDER FORM
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Note: The yearly amount paid by each member is kept strictly confidential. This information will not appear in the membership directory. Only Contact Information will appear.
Fees are based on the countries per capita Gross National Income (GNI) as reported by the United Nations.
To see the list of GNI categories and the countries in each, click here
After you identify your country´s GNI category, click on the button corresponding to the category and the membership period – the system will allow clicking only one button.
Help promote the development of palliative care throughout the world by donating to IAHPC. The proceedings will go to a revolving fund to support program development and membership from developing countries.
IAHPC is a charitable organization so donations to the organization are tax deductible. A copy of the IRS 501(c)3 determination letter is available upon request from IAHPC.
This box should have a value or if you do not want to donate, leave the '0.00".
5. IAHPC PRESS SPECIAL OFFER (Optional)
SPECIAL BOOK DISCOUNT ONLY TO IAHPC MEMBERS
PALLIATIVE CARE IN THE DEVELOPING WORLD: PRINCIPLES AND PRACTICE
Eduardo Bruera, M.D, Liliana De Lima, MHA, Roberto Wenk, M.D, William Farr, M.D
Paperback. 322 pages ISBN 0-9758525-0-7
Cost: $25.00 usd (S/H Included)
Please check amount entered matches your choices.
7. CREDIT CARD INFORMATION