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Indiana Medical History Museum

3045 W. Vermont St.

Indianapolis, IN    46222

       Ph: 317.635.7329

 

Application Form

Thank you for your interest in volunteering that the Indiana Medical History Museum.

Please note that the form is the same for membership, volunteer and mailing list. Only fill out the areas that apply to your level.

When filling out the following form, please create your own password. If you forget your password. click "Forgot Password" and instructions will be sent to your email address for resetting it.

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Copyright © 2009 Indiana Medical History Museum
3045 Vermont Street
Indianapolis, IN 46222
(317) 635-7329

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