2006 ORGANIZATIONAL MEMBERSHIP FORM
Join Health Access California!

WORKING FOR QUALITY, AFFORDABLE HEALTH CARE FOR ALL!

- click here to download printable membership form - (MS Word Doc)

Click on the button below to go directly to pay with a credit card
Please make sure you submit the downloadble form first (above)

Your organization’s membership support does make a difference. We need to work together for quality, affordable health care. United, our coalition can make the difference by helping win meaningful change for the insured and the uninsured.

Your membership includes a subscription to timely, concise updates and analysis of legislation of interest to advocates for the insured and the uninsured; regular updates and alerts via e-mail; up to date budget information, including a scorecard on health care budget cuts.  Also included are advocacy materials such as sample letters to the editor, op-eds, phone scripts, letters to legislators, other items that can be easily tailored/adapted for specific audiences, and reports and studies on budget and health coverage issues.

Health Access can provide speakers for meetings and events, and work with your organization to become more influential advocates on health issues.  Members are invited to participate in formulating the policy and strategy of the coalition, and in advocacy activities including press conferences and town meetings.

Standard organizational membership dues for 2006 are $250. For large organizations and unions, the membership is $1000 or more, depending on size. Small groups can have the dues reduced to what they can afford to contribute.
$250 Regular 2006 Membership Dues
$1000 Large Membership Organization 2006 Membership Dues
Other

Organization Name
Address
City
County
Zip
Contact Person
Phone
Fax
Email Address
Website Address

How do you prefer to be contacted?
Email
Phone
Mail

What issues are your organization most interested in?
Please check all that apply

Preserving access to care for the children, parents, seniors, and people with disabilities that depend on Medi-Cal and other public insurance programs.
Expanding access to care by securing and building on what works in the employer-provided and public insurance health coverage systems.
Providing consumer protections for uninsured, underinsured, and insured families to protect them against overcharging and unfair pricing by hospitals, prescription drugs companies, and insurers.