Use this form to join or renew your membership in the Pacific Northwest Chapter of the Society for Public Health Education.
Fill out the fields below and pay online at www.pnwsophe.org.

*Our online payment method is temporarily unavailable. Please email for instructions on mailing checks through the Contact Us page of our website.

Member Information

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* 1. Member Information

Are you a new member or renewing member?

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* 2. Are you a new member or renewing member?

Degree(s)

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* 3. Degree(s)

Are you a CHES/MCHES?

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* 4. Are you a CHES/MCHES?

Are you a National SOPHE member?

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* 5. Are you a National SOPHE member?

Job Title

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* 6. Job Title

Work Responsibilities

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* 7. Work Responsibilities

Expertise I Can Offer

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* 8. Expertise I Can Offer

I am interested in helping the chapter with:

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* 9. I am interested in helping the chapter with:

Type of Payment

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* 10. Type of Payment

T