UA-141248160-1 Membership Renewal Application | website

    New York City, Westchester and Long Island, New York      Healthcare Executives' Club     Email: info@hecny.org

    Application (Membership Renewal) Instructions:

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    • Provide all requested information in the application fields.

    • Fields with an asterisk (*) must be completed to submit the application.

    • Enter “NA” if “Not Applicable”.

    • Indicate a "Type of Membership" from the drop down box (e.g. Active Member, Student Affiliate, etc.)

    • When application is completed, click the “Submit” box – note that all fields must be completed for submission of your application.

    • Select method of payment and pay dues:

    • For payment by mail, include a personal note in your name indicating "HEC Annual Dues Payment" with a bank check or money order payable to Healthcare Executives’ Club, 4809 Avenue N, Suite # 260, Brooklyn, New York 11234.

    • For payment on-line by credit/debit card or PayPal, click the “PAY DUES” box (see below) and provide the requested information.