When

Thursday, May 24, 2018 at 1:00 PM EDT
-to-
Friday, November 30, 2018 at 1:00 PM EST

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Where

Maine Speech Language Hearing Association

355 Main Rd N
Hampden, ME 04444

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Contact

Maine Speech Language Hearing Association
Maine Speech Language Hearing Association
207-433-5000
mainespeechlanguagehearing@yahoo.com

Membership Renewal 2018-2019

Membership renewal application 2018

* Required information

Personal Information

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  • Fee

    Type Fee
    • $60.00 after Sunday, September 30, 2018
    $50.00
    • $48.00 after Sunday, September 30, 2018
    $40.00
    • $18.00 after Monday, October 1, 2018
    $15.00
    No Charge
    No Charge

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    License/Certificates held currently

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    Interests

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$9,999.99

Payment

Payment Method

  • Please make check payable to:
    MSLHA c/o Katherine Thibodeau
    355 Main Rd N
    Hampden, ME 04444

Payment Summary



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