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Dear Prospective Corporate Partner:
 
The Washington State Health Information Management Association (WSHIMA) Board of Directors invites you to become our Corporate Partner.
 
Partner Benefits
 
WSHIMA Web Site
Corporate Partners will be listed on the WSHIMA web site with a hyperlink to their company’s web site. Also listed will be a description of the company’s services, contact information and company logo.
 
Job Postings
Corporate Partners can list job postings on the WSHIMA website at no charge. 
 
WSHIMA Annual Meeting
Corporate Partners will receive10% discount on exhibitor tables. In addition, Corporate Partners will receive preferred table location and recognition throughout the Annual Meeting.
 
WSHIMA Events
Corporate Partners are entitled to WSHIMA member registration fees for workshops and meetings sponsored by WSHIMA for two individuals.
 
Legislative Manual
Corporate Partners receive WSHIMA member rates on the Legislative Manual.
 
Electronic Newsletter
Corporate Partners can have up to five people receive the WSHIMA Evergreen Bulletin, an informative electronic newsletter. Also, up to five people can receive WSHIMA e-lerts, timely information on WSHIMA activities, educational opportunities and health information management issues.
 
Your yearly partnership with WSHIMA becomes active once it receives your online application and fee. The yearly fee is $300. 
 
Please complete the online application below. The information in the boxes that have an asterisk before them will be displayed on the WSHIMA website.
 
If you have any questions, please contact the WSHIMA Central Office Coordinator at 206-285-3842
 
WSHIMA looks forward in welcoming you to our state association! 

Once the online form below is completed you may submit your $300 payment via PayPal, credit card or check.  Please mail checks to:  WSHIMA  6122 152nd Pl SE  Snohomish  WA  98296

 
 
   


Company Name:*
Corporate Representative:*
Corporate Representative Title:*
Company Address:*
Company City:*
Company State:*
Company Zip Code:*
Company Phone:*
Company Fax:*
Company Website:*
Contact Email Address:*
Additional Email #1:
Additional Email #2:
Additional Email #3:
Additional Email #4:
Please provide a Marketing/Sales description about your company's products or services in 100 words or less:*
 
 
Upload Company Logo (we prefer that Company logo be formatted to 200 pixels tall by 200 pixels wide.):*
 
 
Verification:*
REFRESH

  I agree that I am a representative of the above company and we hereby apply to become a Corporate Partner of the Washington State Health Information Management Association (WSHIMA):
 

Page Last Updated 03/03/2010