Join CFPHD

CFPHD annual dues support the activities of the CFPHD only (meetings, mailing, copying). We are grateful to the organizations and individuals committed to reducing health disparities in Central Florida for their donation of time and effort.

YES, I want to become a member of CFPHD.

Membership Type	Check one	Annual Dues (per individual)
Informed Member
Participating Member		$ 25.00

Name:

Title, Organization:

Street Address/PO Box:

City, State Zip Code:

Phone Number:

E-Mail Address:

Web Page:

Annual membership dues are $25.00. Checks should be made payable to the Central Florida Partnership on Health Disparities, marked "membership," and mailed to:

Elaine Cauthen
Central Florida Partnership on Health Disparities
2461 W. State Road 426, Suite 2041
Oviedo, FL 32765