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LVBCH Membership Application Forms

To apply for membership in LVBCH, simply complete an application form (online or by hand).  Send the completed application form via email to LVBCH@LVBCH.com or via fax to 610-317-0142.  Upon receipt of your application, we will send you an invoice for your annual dues.  If you have any questions, please contact us.

Membership Application Form for Employers: 

Employer members are organizations whose employees are eligible to attend LVBCH events, can participate on LVBCH committees and are eligible to enroll in LVBCH programs (i.e., medical, dental, vision, Rx drug, etc.)  You can complete an application form either online or by hand.

Complete Employer Form online & submit via email            

Complete Employer Form by hand & submit via fax



Membership Application Form for Associates:

Associate members are organizations such as healthcare providers, pharmaceutical companies, insurance companies, and benefit consultants or brokers.  Associate members are eligible to enroll in LVBCH programs (i.e., medical, dental, vision Rx drug, etc.), attend selected LVBCH events and participate on selected LVBCH committees but are NOT eligible to serve on the LVBCH Board of Directors.  You can complete an application form either online or by hand.

Complete Associate form online & submit via email            

Complete Associate form by hand & submit via fax