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Thursday, July 3, 2008 
 
 
 
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For Employers: Create Account

Please complete ALL of the fields below:

User Information:
First Name:
Last Name:
Email:
NOTE: Your login info will be sent to the email you provided.  Please ensure it is correct.
Title:
Username:
Password:
Facility Information:
Facility:
Address:
Location:
Facility Zip:
Facility Phone: format as: 999-999-9999
Facility Fax: format as: 999-999-9999
 
 
The above information will only be sent to IHA. An IHA staff person will contact you within 24 hours to verify membership. Upon verification, your login information will immediately be sent to the email provided above.


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