Rhode Island Society of Histotechnology


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REGION I MEETING 2009

RISH MEMBERSHIP

CURRENT HISTOLOGY INFORMATION

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RISH Membership Application

Use this form to join, to renew, and to update your info or add changes throughout the year. Your information will be sent electronically when you submit the form. Payment (if needed) will be handled after this form is submitted.

Application Type New Member Renewal Info Update Only
Name: Title:
Affiliation
Address
City: State:   Zip/Postal Code
Telephone:
Home:
Work:
Fax:
Email:
Are you a member of NSH? Yes No
Certifications
Would you like to participate on chapter committees?  Yes No
Interested in being a speaker? Yes No
Speaking topics
Type of member Regular Member (Free)
 Student Member (Free)
Retiree (Free)
 Vendor Sustaining Member ($100)
Payment Type Credit Card/PayPal  Check No Payment Due

SPECIAL OFFER: Membership is free for regular members with an application though 2010. In 2011 membership will be $10.00.

Payment instructions, if any, will be given after this form is submitted.

 

© 2008 Rhode Island Society for Histotechnology
Last Update:
Please direct any suggestions or comments to webmaster, Dodi Borsay Horowitz, at webmaster@RIhistology.org
 

© 2010 Rhode Island Society for Histotechnology
Last Update:
Please direct any suggestions or comments to webmaster, Dodi Borsay Horowitz, at webmaster@RIhistology.org