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To become a member, complete the membership application below. You can pay by credit card below. If you prefer to pay by check, please mail to:

Evie Ranslem-Parsons, NHM Treasurer
Sidney Regional Medical Center
645 Osage Street
Sidney, NE 69162

Membership Fee - $75

*REQUIRED
*REQUIRED
*REQUIRED
Visa MasterCard American Express Discover
*REQUIRED
/
*REQUIRED
? Visa®, Mastercard®, and Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.
*REQUIRED

Questions? Contact Deborah Larson, Membership Mentor, at 308.385.5175 or dlarson@cdhd.ne.gov