Dues Notice - 2007
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Name:

Mailing Address:


Phone:

Fax:

E-mail:

*** I would Like to receive my newsletter by:

E-mail           Regular mail

Membership Classification:
A)
Active Member   $25.00

Registered by a national examination in one of the following disciplines. Please specify.
 

  R.E.T.
R.EP.T.

 R.EEG.T
R.PSG.T.

R.T.(EMG)
         Other

B)
Associate Member   $25.00

Registration not completed / retired

If you will be paying your 2006 or 2007 dues at the meeting, exact change would be appreciated.
C)
Student Member   $10.00

Currently in training

Please make cheque payable to B.C.S.E.T. and return this completed form to the address below or drop off at the Spring Meeting af GF Strong:

Cayle Stewart
EEG - Penticton Regional Hospital
550 Carmi Ave. Penticton, BC V2A 3G6

Phone: (250) 492-4000 Ext 2298
E-mail:

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