Member Registration

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Annual Conferences
Pittsburgh, PA  June 8 – June 12, 2022

HCIF Membership Directory

Please print this page and complete it.

Name ________________________________

Address _______________________________

City __________________________________ State________  Zip ____________

Phone  ________________ Email Address __________________________________________

New members, how did you hear about us? ________________________________________

Annual Membership Levels

Basic – $50.00
Patron – $100.00
Benefactor – $250.00

Mail this form and your membership dues to:

P.O. Box 5163
Buffalo Grove, IL 60089

Or use the form below to subscribe and pay online with PayPal. Fill out the form below and submit.
Please indicate level of membership and include your phone number with your PayPal transaction.

Thank you.