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Membership Details
Physician Member
Member Price$550.00
New Member Price$645.00
Membership Description

MDs or DOs in the Domestic USA.  This is the first level of membership for physicians. 

Membership InformationThis is an Anniversary based MembershipMembership Term Effective Date:12Expiration Date:12/12/2019Referred By:11/30/2020
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If yes, please select a donation from the list below:
Donations:
Additional Information:
When did you start phlebology?I want UltrasoundAnnouncements:
I want Nursing Announcements:
Phlebology Patient Volume:
Board Certified in Phlebology:How did you hear about ACP?Designation (MD, FACPh, DO):State and License #:University/ Medical School:Post Graduate Training:AMA Number:Date of Birth:
Gender:
Graduation Date:Current Primary Specialty:Residency Specialty :Current 2ndary Specialty:Other Org (AVF, ACS, SVS, etc):Attestation Statement:
 

American Vein & Lymphatic Society
434 W. Ontario St. Suite 200
Chicago, IL 60654
510.346.6800
510.346.6808 fax
info@myavls.org


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