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Letter of Affiliation 2016 My organization/agency, , is a member of the North Shore Community Health Network (“The Network”). As such, we support the mission of the Network and its strategic emphasis, and agree to participate in its activities. Participation may include one or more of the following: attending meetings annually; participating in work groups, conference calls, surveys or other memberrelated activities; providing in-kind services or expertise; grant review and resource allocation; event planning and activity promotion. Network membership provides access to: funding opportunities; training and professional development for staff; networking with other area health and social service organizations; information through electronic newsletters and other means; and community recognition. Membership assumes permission to print the name of your organization on Network promotional materials, and grants you the opportunity include the Network in your organization’s materials. Membership is renewed every three years or upon submission of an application for funding. Name: _________________________ Title: ___________________________ E-mail: _________________________ Telephone: ______________________ Signature: ______________________ Date: ___________________________