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2010 Patient Scholarship Application
PHA Conference – Garden Grove, Calif.
June 25-27, 2010

Application must be received by PHA by April 30, 2010 in order to be considered, except for PH patients diagnosed after March 1, 2010 for whom the deadline is May 30, 2010.

Your privacy is of the utmost importance to PHA. All information provided on this application is strictly confidential and will not be shared with anyone beyond the Scholarship Committee and selected office staff.
The Scholarship Committee decisions will be final.

*Please note: All scholarship recipients are required to be PHA members in good standing. To check on your PHA membership status, call PHA’s office at 301-565-3004 or email membership@phassociation.org. Registration on the PHA website does not constitute membership in PHA. To update your membership, visit www.PHAssociation.org/Join. Complimentary memberships available upon request.
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