KC Biomed Society

The Healthcare Technology Management

                   Association of the Midwest


The place for BMETs & HTM professionals in the Midwest & Beyond.

Membership Application

Thank you for your interest in becoming a member of the Healthcare Technology Management Association of the Mid-West.  The next few pages will walk you through the application process.  There are five levels of membership: Organizational, Corporate, Individual, Student and Military.

If you are a applying on behalf of a Corporation or Organization you will fill out the form for yourself, and once your dues have been received your account will be activated at which time you can access your profile and add additional accounts within your organization.  Please see our Society By-Laws for further explanation of these membership types and their benefits.

If you are applying for Military membership we only ask that you provide a DD214 or equivalent document that shows your ETS date before we activate your account.  You can bring this document to a meeting or send your documentation via e-mail.

Once the application is complete you will be asked to submit your dues through our PayPal form.  You do not need a PayPal account in order to make a payment, however you will need a credit card to pay online.  PayPal is a completely secure method of online payment, however, if you would feel more comfortable applying online and paying in person at one of our meetings, you are more than welcome to do so.

Terms of Membership

I agree not to hold the HTMA-MW, or the elected Officers, liable for any harm that might occur to me while attending HTMA-MW meetings or sponsored events.  I also acknowledge that should I consume alcohol at HTMA-MW meetings or events that I will not hold the HTMA-MW, or the elected Officers, liable in any manner.  This includes any injuries, accidents or legal infractions that occur during or following HTMA-MW sponsored meetings or events.

We look forward to seeing you at our meetings.  If you have any questions about this application form please contact HTMA-MW Webmaster.
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