Website of the Maine Hospice Council and Center for End-of-Life Care

Quick Links:     ¬ Maine Hospice Event -- Aug 23, Brunswick
¬ 14th Annual Maine Pain Initiative Symposium -- Sep. 16-17, Samoset
¬ The Pervasive Influence of Grief and Loss on Mental Health -- Oct. 17, Eastland Park, Portland
¬ Annual Maine Hospice Council Retreat -- Oct 24-26, Sugarloaf
¬ Hot Topics in Hospice / Annual Blaine House Tea -- Nov 12, Augusta

Organization Membership Form

Please complete the requested information and click 'Join.' Membership dues may be paid by check, credit card, or online.

Name
Title
Company
Home Address
City, State Zip
Telephone
Fax
Email 1  Please list up to 4 individuals who will receive member updates and subscriptions.
Email 2  Additional individuals may be added after membership is processed.
Email 3
Email 4
Membership Level Member:  $1,000.00
Sustaining: $1,500.00
  New Membership Membership Renewal
Payment Method

Visa/MasterCard/American Express/Discover/Electronic Check via Pay Pal (click Pay Pal link below after clicking 'Join!'

Check in mail. Please make payable to Maine Hospice Council and mail to PO Box 2239, Augusta, ME 04338

Visa/MasterCard by phone. Please call 1-800-438-5963.


Go to PayPal payment page.

 

This site supported in part by funds from the Administration on Aging.

The Maine Hospice Council is a MaineShare Member Organization. For more information on workplace giving, please click here.

This page created by Al Hipkins using donated and low cost software and hardware. Please see our Acknowledgements page for a list of contributors and links to their sites.

Shipping: 693 Western Avenue, Manchester, Maine 04351
Mailing: PO Box 2239, Augusta, Maine, 04338-2239
Toll-free: (800) 438-5963  Local: (207) 626-0651  Fax: (207) 622-1274  
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