Basic and Enhanced Associate Membership Registration


This category includes Vendors, Consultants, Palliative Care Organizations and other Organizations.

We are grateful for your membership in The Carolinas Center and willingness to support excellence in hospice and end of life care in the Carolinas.

The Carolinas Center for Hospice and End of Life Care supports and promotes access to quality palliative care through the end of life.

Benefits of Membership for both Basic and Enhanced Associate membership include:
  • A 40% discount on premium conference exhibit space
  • The Hospice News Round-Up
  • Conference and workshop registrations at affiliate provider rates
  • Education Newsletter
PLUS, Enhanced also includes the following:
  • Hospice Report
  • Billboard - a legislative update for NC and SC
  • One copy of each: the annual data supplement for NC and SC
We are grateful for your membership in The Carolinas Center and willingness to support excellence in hospice and end of life care in the Carolinas. The Carolinas Center for Hospice and End of Life Care supports and promotes access to quality palliative care through the end of life.

Membership will run on the calendar year January 1-December 31.

Please provide the following information. If you have any questions regarding associate membership, please call Natalie Leiner at 919.459.5380.
Primary Contact (first and last name)
Title
Organization
Mailing Address
Street Address
City
State
Zip Code
Phone Number
Fax
Email Address
Website Address
Please choose your membership category:
Credit Card
Name on credit card:
Credit Card Number
Expiration Date
Security Code: (three digit code on back of credit card)
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