Coalition for Oral Health For the Aging
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  • Membership
    • Membership Application

Join Us In Helping the Aging Population by Becoming a Member!

    Options to Join:

    1. Fill out and submit online form below. 
    2. Download, print and mail application (See Download file)

    Payment will be accepted by credit card from this page or by mailed check.

    Please include credentials after your last name
Submit


To fill out paper application download form below and put in the mail:
coha_membership_application__2_.pdf
File Size: 215 kb
File Type: pdf
Download File


2 Options to Pay
1. By credit card: click on the "Buy Now" button below


2. By check:
    Make check payable to COHA and mail to: 
    COHA   
    22 S Harbor Dr. #404
​    Grand Haven, MI 49417

Please note on memo line of the check the name of the member.
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