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MIPH Application for Enrollment

There are three different ways for SMDP to receive your MIPH application--online, by post, or by fax. Download it here.

We will acknowledge receipt of your MIPH application form.

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Adobe Acrobat Reader is required to view the printable application and fact sheet.

Adobe Acrobat ReaderDownload a free copy of Adobe Acrobat Reader for either Windows or Macintosh systems. Follow the installation instructions on the Acrobat Download page.

 

 

Page last modified: February 5, 2008