Membership Application

Iowa Counties Public Health Association

Membership Application

Print and fIll out and mail to:

Tama County Public Health and Home Care
Linda Rosenberger, Administrator
129 W. High St.
Toledo IA 52342

641-484-4788
641-484-5447
www.tamacounty.org
lrosenberger@tamacounty.org

Print and fIll out and mail to: Tama County Public Health and Home Care Linda Rosenberger CEO/Executive Director 129 W. High St. Toledo IA 52342 641-484-4788 641-484-5447 www.tamacounty.org lrosenberger@tamacounty.org Name:_______________________________ Agency/Organization: ____________________________________ Mailing Address: _________________________________ _________________________________ Email: _________________________________ Phone: _________________________________ Mail check MADE OUT TO I-ALPHA & application to Linda Rosenberger (See above) ( $25.00 annual dues)

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For more information about THE IOWA COUNTIES PUBLIC HEALTH ASSOCIATION contact

Graham Damerom MPH, RHES
Executive Director, IOWA COUNTIES PUBLIC HEALTH ASSOCIATION
48 Penfro Dr.

Iowa City, IA. 52246.

Phone: 319-337-9270
E-Mail: gdameron@mail.public-health.uiowa.edu