Associate Membership

Associate Member Application Form

Membership Terms and Conditions
An associate membership entitles a company/firm/organization to participate in the Iowa Health Care Association (IHCA) as an associate member, which excludes the right to vote in association affairs. IHCA will carry a listing of organization’s associate memberships in its annual convention program book and website to encourage patronage of the associate member company/firm/organization. Associate membership will take effect upon approval by the IHCA Board of Directors.
Payment Information
The per-calendar-year associate membership fee of $750.00 must be sent to Iowa Health Care Association, 1775 90th Street, West Des Moines, IA 50266-1563 upon submission of application. By submitting an application, you understand that the associate membership will be automatically renewed each year unless terminated, and you will be billed for the yearly membership fee.
Organization Name * Required
Organization Contact Name
First Last
Title
Email
Phone
Address
Street Address Address Line 2 City State ZIP Code
Billing Contact Name
First Last
Billing Contact Title
Billing Contact Email
Billing Address (if different from above)
Street Address Address Line 2 City State ZIP Code
Website - enter a valid website URL for example https://www.google.com
Description of goods and/or services offered by the company
Geographical area of state where company conducts business
Long-term services providers served (check all that apply)
- Select All
- NF
- AL
- RCF
- Senior Housing
- Home Health
- Adult Day
Referred by IHCA member (optional)

Associate Membership

Associate Member Application Form

Membership Terms and Conditions

Payment Information