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NASPOG Membership

 
 
 

Membership is open to all persons with professional credentials in recognized scientific or clinical disciplines who express interest in the aims of the Society.

Membership is $150 ( for Physicians, PhDs, Practicing Clinicians) or $50 ( for Resident, Medical, or Graduate Students).

Please complete the application, send it electronically and forward your curriculum vitae and a check for yearly membership, to:

NASPOG National Office,
409 12th Street, S.W.,
Washington, D.C.
20024-2188.
Name:
Degree(s):
Preferred Mailing Address:
Telephone:
Fax: 
Your e-mail address: 
Your Profession: 
Special Interests - Select top five interests:
First Interest:

Other:
Second Interest:

Other:
Third Interest:

Other:
Fourth Interest:

Other:
Fifth Interest:

Other:

I understand that my membership will be processed upon receipt of my curriculum vitae and a check for yearly membership:

      



  
       
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