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Langdon Prairie Health Association Membership
Langdon Prairie Health Association Membership Information
Membership in the LPH Association is open to any individual who is 18 years of age or older and living in LPH’s service area
Once the Association receives a completed application from a qualified individual, the individual is a member of the Association
Membership is good until the individual no longer meets the qualifications for membership
To vote at LPH’s Annual Meeting, a membership application must be received prior to the meeting
For nominations, please fill out the two documents below and the form below:
LPH Board Member Job Description
LPH Board Member Nomination Form
Membership Enrollment Form
Submission Data
Name:
Name: is required.
Address:
Address: is required.
Phone:
Phone: is required.
Email Address
Email Address is required.
Must be a valid email address.
I would be interested in serving on the Board of Trustees:
Yes
No
I would be interested in serving on the Board of Trustees: is required.
By signing this application, I certify that I am over eighteen years of age and that I reside in the Association’s Service Area.
Signature:
Signature: is required.
To vote at the Annual Meeting, a membership form must be received prior to the meeting. Membership is good until you no longer meet the qualifications for membership. Upon the Association's receipt of a properly completed application form a qualified individual, the individual is a Member of the Association.
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909 2nd St., Langdon, ND 58249 |
(701) 256-6100