WSHMMA membership

Member Questionnaire

Thank you for your interesting in joining WSHMMA [Western States Healthcare Materials Management Association]...the Pacific Northwest chapter of AHRMM...membership is FREE.

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* 1. Are you a involved in the materials functions of healthcare facilities, or are active in the healthcare materials supply chain, including manufacturers, vendors, distributors and group purchasing organizations?

Yes

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* 2. Are you employed by:

Acute Care Facility [hospital or IDN]

Non-Acute Facility [ASC or clinic or veterinary]

Vendor [mfg or distributor]

GPO

Other (please specify)

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* 3. Do you work or reside in the WSHMMA states [WA, OR, ID, MT, AK]?

Yes

If no, please specify

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* 4. Personnel Info:

Name

Company

Work Address

Work Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 5. Are you a member of AHRMM?

Yes

If yes, please provide your AHRMM member number [this is on the weekly email sent out by AHRMM]

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* 6. Do you have any AHRMM certifications?

CMRP

FAHRMM

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* 7. Are you on any AHRMM committees?

Annual Conference Education

Chapter Relations

Education

Fellow Review

Issues and Legislative

Membership

Nominating

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* 8. Membership

NEW

Renewing/updating info