Affiliate Member Application

Thank you for your interest in the Mile High Health Alliance Affiliate Member Program.

We welcome you to join us in our mission of Achieving Better Health through Collaboration. The Affiliate Member Program of the Mile High Health Alliance was established to provide businesses and organizations the opportunity to be informed and involved in transforming the health system in Denver.

If you would like to discuss affiliate membership, please contact admin@milehighhealthalliance.org.

Application Instructions

You will need the following information available when filling this form. Our system does NOT allow partially completed applications to be saved and completed later.

    1. The names and contact information of the principal contact person for your organization.
    2. Your organizational mission statement.
    3. Your organization’s preferred affiliate member tier.
Fields marked with an * are required.
 

Application

The Colorado Nonprofit Development Center (CNDC) is the fiscal partner of the Mile High Health Alliance, and will receive your payment on behalf of the Alliance. Please make checks for the Affiliate Member tier indicated above, payable to

“CNDC, DBA Mile High Health Alliance”

and send directly to:

Colorado Nonprofit Development Center
789 Sherman Street, Suite 250
Denver, CO 80203

If your organization requires an invoice in order to make your payment, please email admin@milehighhealthalliance.org.