Active Member

By mjottii | July 18, 2022

Active membership may be requested by qualified surgeons who are

post graduate training in vascular surgery in an ACGME approved training program or
limit their practice primarily to vascular surgery.

Active membership requires payment of annual dues and grants full voting privileges, the ability to hold office and lead committees.

Terms:

$75 / Year

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Organization/Institution:* Organization/Institution is Required

Professional Designation (MD, DO, NP, PA, MS, RN, DPM, etc):* Professional Designation (MD, DO, NP, PA, MS, RN, DPM, etc) is Required

Professional Title:* Professional Title is Required

Specialty: Specialty is not valid

Admin Assistant Email: Admin Assistant Email is not valid

Admin Assistant Phone: Admin Assistant Phone is not valid

How Many Years have you been in practice?: How Many Years have you been in practice? is not valid

CV:* CV is Required

Referring Member:* Referring Member is Required

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Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Medium" or stronger

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