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Join Friends of Altoona Regional Health System Today!

Please complete the information below, print the completed application, enclose it in an envelope with your membership fee and mail to:

Friends of Altoona Regional Health System
Altoona Hospital Campus Gift Shop
620 Howard Avenue
Altoona, PA 16601

For more information, please call (814) 889-7826.

Membership Categories: Annual Membership $5/year     Lifetime Membership $50 (one-time fee)
Name:
Address:
City:
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E-mail:
Date of Birth:

I am an employee of Altoona Regional I am a retiree of Altoona Regional Bon Secours/Mercy Altoona Hospital Are you a School of Nursing graduate? I was a graduate of Altoona Hospital SON I was a graduate of Mercy Hospital SON Please mark the box next to the committees on which you would most like to serve with a number. The number 1 (one) should indicate your first selection, 2 (two) your second selection, etc. You may mark as many boxes as you wish. Auditing Committee Baby Pictures Committee Finance (Budget) Committee Gift Shop Committee Hospitality Committee Nominating Committee Program Committee Scholarship Committee Sewing Committee Ways & Means Committee Health Promotion Committee Newsletter/Public Relations Committee Legislative Affairs Committee