Registration/payment for Associate Business Membership

I herby make application for Associate Business Membership to the Utah Health Care Association (UHCA). I agree to abide by the rules, bylaws and standards established by and for the members of UHCA.

Choose your membership level below.

*Dues payments may be deducted as an “ordinary and necessary” business expense. U
*Contributions or gifts to UHCA may not be deducted as charitable contributions.

Total Amount
$
Payment method *
Credit Card Number*
Expiration Date*
/
Card (CVV) Code*
Card Holder Name*
Verification code*