TxOHC Individual Membership Agreement

Member Interests

Current Interests (please choose all that apply): *

Statement of Principles: (Requires Signature Below)

The Texas Oral Health Coalition, Inc. (TxOHC) is a nonpartisan state level oral health coalition that was formed in November 2004 and acquired nonprofit 501 (c) (3) status in 2009 to promote oral health across the lifespan by advocating for optimal oral health for all Texans through statewide partnerships. 

TxOHC is the primary organization in Texas that provides a nonpartisan forum which allows a diverse network of stakeholders to collaborate and create innovative and viable solutions to improve the oral health for all Texans.  If you, or your organization, share our mission and can envision Texas as a state where every person is known to enjoy optimal oral health as part of one’s total well-being through individual shared community responsibility, then we would like to invite you to apply for membership and partner with our Coalition.

I, support in principle the Texas statewide Oral Health Coalition and choose to be part of the Coalition, shaping oral health policy and action for the betterment of all Texans.
The parties agree that this agreement may be electronically signed. *

Membership Dues

Individual Membership is $50 annually, due at the beginning of the calendar year. If you would like to become a member and pay your dues online, fill out the form, choose the “pay by credit card” option below and click the Submit button.  After you submit the form you will be redirected to a PayPal page to make a payment.  A PayPal account is not required to complete the checkout, any major credit card can be used.

If you prefer to mail a payment please choose the “pay by check” option and mail a printed copy of your submission notification and mail it with your check to:

    Texas Oral Health Coalition
    4614 Bowie
    Midland, TX 79703

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