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Membership Application - New York State Urological Society

Please complete the form below and submit. Your membership will not become active until we receive payment in the mail. You may remit your payment to:. NYSUS, 55 Spindrift Dr , Williamsville, NY 14221. Date of Birth: *. Are you over 65? Mailing Preference : *. Work Email Address: *. Home Email Address :. Active/Associate: $85 Annual Dues. Allied: $35.00 Annual Dues. Senior: $0 Annual Dues. You will be redirected to PayPal upon submission of this form to complete your membership application.

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Membership Application - New York State Urological Society | secure.nysurologicalsociety.org Reviews
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Please complete the form below and submit. Your membership will not become active until we receive payment in the mail. You may remit your payment to:. NYSUS, 55 Spindrift Dr , Williamsville, NY 14221. Date of Birth: *. Are you over 65? Mailing Preference : *. Work Email Address: *. Home Email Address :. Active/Associate: $85 Annual Dues. Allied: $35.00 Annual Dues. Senior: $0 Annual Dues. You will be redirected to PayPal upon submission of this form to complete your membership application.
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1 online membership application
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6 select mailing
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8 office information
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Membership Application - New York State Urological Society | secure.nysurologicalsociety.org Reviews

https://secure.nysurologicalsociety.org

Please complete the form below and submit. Your membership will not become active until we receive payment in the mail. You may remit your payment to:. NYSUS, 55 Spindrift Dr , Williamsville, NY 14221. Date of Birth: *. Are you over 65? Mailing Preference : *. Work Email Address: *. Home Email Address :. Active/Associate: $85 Annual Dues. Allied: $35.00 Annual Dues. Senior: $0 Annual Dues. You will be redirected to PayPal upon submission of this form to complete your membership application.

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Membership - New York State Urological Society

http://www.nysurologicalsociety.org/membership.html

Click here to download and complete our Membership Application Form [pdf]. Associate membership shall be restricted to (1) Urologists in training who cannot fulfill the requirements for active membership but who may be eligible to become active members as soon as the requirements can be met; (2) scientists, physicians in research, and teachers in related fields interested in contributing to the Science of Urology.

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Membership Application - New York State Urological Society

Please complete the form below and submit. Your membership will not become active until we receive payment in the mail. You may remit your payment to:. NYSUS, 55 Spindrift Dr , Williamsville, NY 14221. Date of Birth: *. Are you over 65? Mailing Preference : *. Work Email Address: *. Home Email Address :. Active/Associate: $85 Annual Dues. Allied: $35.00 Annual Dues. Senior: $0 Annual Dues. You will be redirected to PayPal upon submission of this form to complete your membership application.

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