Health Volunteers Overseas

Yes, I want to support HVO. Please fill out this form to become a Member, to renew your membership, to become a Donor and/or to make a purchase from our Marketplace.

STEP 1:

Provide Your Information
Personal Info
Your Name * Title First Last Suffix
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Email Address *

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Degrees (MD, PT, CRNA, DDS)

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Phone Number
If you are a health professional, please indicate your specialty:
Specialty:
Anesthesia Dentistry

Dermatology Hand Surgery

Hematology Internal Medicine

Nursing Education Oncology

Oral & Maxillofacial Surgery Orthopaedics

Pediatrics Physical Therapy

Wound Care Other (list specialty)
Would you like program information sent? *
Yes No
STEP 2:

Select Your Gift Amount
Would you like to become an Ambassador-At-Large, HVO's recurring gift program? Click Here.
Suggested membership support levels for health care professionals (members may also join a Circle of Giving) *
Physicians & Dentists - $150 Nurses & Allied Health Professionals - $70 Those in Training - $40 None
Be part of our Leadership Giving Program
Join a Circle of Giving! *
President's Circle - $5,000 or More Chancellor's Circle - $1,000 to $4,999 Dean's Circle - $500 to $999 Professor's Circle - $250 to $499 None
Please specify an amount over $15
Would you like to make a donation in memory or in honor of someone?
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This gift is: First Last
Please send acknowledgement to:
Title Name Street Address City State / Province / Region Postal / Zip Code Country
STEP 3:

If you are interested in purchasing any of HVO's Marketplace items, please choose from the list below and indicate the number of each item that you would like to purchase.
Marketplace
A Guide to Volunteering Overseas
$25.00 per copy

Please enter a quantity
2008 Teach-Travel-Learn: Volunteering With Orthopaedics Overseas Workshop CD-Rom
$35.00 per copy

Please enter a quantity
"Compass Points" Musical CD"
$25.00 per copy

Please enter a quantity
"Teaching the Healers: The Story of HVO" award-winning documentary DVD
$15.00 per copy

Please enter a quantity
HVO Notecards - Packet of 12 cards
$20.00 per pack

Please enter a quantity
HVO's 20th Anniversary Screenprint, "Learning" by DC artist Michael Hagan
$175.00 per copy

Please enter a quantity
HVO Poster
$15.00 per copy

Please enter a quantity
Shipping Address
Please enter a shipping address if different from your billing address. You will enter your billing address on the next page.

Street Address City State / Province / Region Postal / Zip Code Country
Please select your method of payment *
Paypal Credit Card
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Health Volunteers Overseas

STEP 1:

Personal Info

If you are a health professional, please indicate your specialty:

STEP 2:

Would you like to become an Ambassador-At-Large, HVO's recurring gift program? Click Here.

STEP 3:

Marketplace