TxOHC Academic Institutional Membership Agreement

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, the authorized faculty representative 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.

Membership Dues

Academic Institutional membership is $350 annually and includes department/program faculty members and their full time enrolled students.  To receive full benefits, we invite educators and students to complete an individual or student application as well.  

If you would like to become a member and pay your dues online, complete the form above, choose the “pay by credit card” option on the next page and click the Submit button.  After you submit the form you will be redirected to a secure PayPal page to make your payment.  A PayPal account is not required to complete the checkout and any major credit card may be used.

If you prefer to mail your payment, please choose the “pay by check” option on the next page and include a printed copy of your submission confirmation notification with your check to:

    Texas Oral Health Coalition
    4614 Bowie
    Midland, TX 79703

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