503 N. Maple
Effingham, IL 62401
217-342-2121


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Membership Application

St. Anthony's Memorial Hospital Auxiliary's Membership Application is available to view as a Get Acrobat Reader PDF file.  The application may be printed and mailed in, faxed in, or filled out online and submitted.  To view the PDF file on your computer, Adobe Acrobat Reader must be installed on your system.  If this program is not available on your computer, please use the button to the right for instructions on how to obtain the program free from Adobe.

Download time may vary depending on the speed of your internet connection.

Auxiliary Membership Application

This page was updated on June 18, 2007 .