House Membership Application

Instructions

Thank you for your interest in becoming a member of Healthcare Hospitality Network (HHN). If you are an organization that currently provides, or is in the planning stages of providing, lodging and support programs for patients and/or their caregivers receiving medical care away from home, please complete the application to get connected to the HHN community.

Select An Option

House Membership Price of Level Selected (Price Range: $600 - $1500 Annually)

Select Level

Provisional Membership Price of Level Selected (Price Range: $600 - $600 Once Per Term)

Select Level

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist