Receipt of Membership Application Forms by ccl57121

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									            New Hampshire Society of Healthcare Engineers
              New England Healthcare Engineers Society
              American Society of Healthcare Engineers

Here are three great organizations and three great ways to increase your
networking and educational opportunities.


  1) NHSHE membership only.

      Fill out the NHSHE membership form and
      Submit a check for $50 to the NHSHE treasurer.

  2) NHSHE and NEHES memberships.

      Fill out both application forms
      Submit both applications with one check for $65.00 to the NHSHE
     treasurer
     Upon receipt of $65.00, the New Hampshire Society of Healthcare engineers will
     forward $25.00 and your New England Healthcare Engineers Society application to
     NEHES membership. New applications are subject to approval.

  3) NHSHE, NEHES for those with ASHE memberships.

     If you are a new or existing member of ASHE; NEHES will waive the
     membership dues.

      Fill out the NHSHE membership form and submit a check for $50 to
     NHSHE.
      Fill out the NEHES membership application and submit to NEHES
     with proof of ASHE membership.
                                       APPLICATION FOR ACTIVE MEMBERSHIP

      The New Hampshire Society of Healthcare Engineers is a professional group dedicated to education, planning, support
      and collaboration. We provide many resources to assist healthcare engineers with challenges and opportunities in
      areas such as facilities management, safety, plant engineering, construction, infection control and compliance.

                                               Please Type or Print Information

      Name in Full:
      Position:
      Healthcare Organization:
      Address:
      City:                                                          State:                    Zip:
      Telephone #:                                                   Fax #:
      E-Mail:
      Professional Affiliations: ASHE         NEHES         NFPA        Other

      I agree to uphold the objectives of the NHSHE:
      A. To promote a better environment of care by coordinating the efforts of those having responsibility in healthcare
           facility operations.
      B. To promote the mutual exchange of information, to offer technical assistance, and to share ideas and experiences
           through regularly scheduled meetings and continued education.
      C. To promote continuing efficient and effective hospital engineering departments by taking advantage of the latest
           developments in design, operation, and techniques of engineering systems.
      D. To promote continuing efficient operation of healthcare engineering department through updating management
           techniques.

      Signed:                                                                        Date:

      After completing this form please forward to the Secretary of NHSHE with your dues.
                   NHSHE Membership Only - $50
                   NHSHE and NEHES Membership - $65

      Please make checks payable to:     New Hampshire Society of Healthcare Engineers or NHSHE

      Remit to:                          New Hampshire Society of Healthcare Engineers
                                         c/o Tim Bishop
                                         The Ridge at RiverWoods
                                         10 White Oak Drive
                                         Exeter, NH 03833

ACTIVE MEMBERSHIP: Individual actively engaged in the hospital or healthcare engineering field in the state of New Hampshire.
Active members must be in direct employment of a hospital or other Healthcare institution and not employed by an outside service
organization doing work for a hospital. Active members have full voting rights and can hold office in the Society.

ASSOCIATE MEMBERSHIP: Please contact the Treasurer for further information.

								
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