When

Saturday, January 6, 2018 at 1:00 PM CST
-to-
Monday, December 31, 2018 at 1:00 PM CST

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Where

STC-HPS

PO Box 29021
San Antonio, TX 78229

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Contact

Amanda Sullivan
South Texas Chapter of the Health Physics Society
210-567-2955
stc.hps.orders@gmail.com

STC-HPS Membership Renewal Drive 2018

Please use this form to apply for new membership, or to renew your STC-HPS membership.

* Required information

Personal Information

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  • Fee

    Type Fee
    $20.00
    $10.00
    $200.00

Business Information

Additional Information

  • Select if the following statements are true:

  • Please check the STC-HPS committee(s) on which you would like to actively serve:

$9,999.99

Payment

Payment Method

  • Please make check payable to:
    South Texas Chapter of the Health Physics Society
    PO Box 29021
    San Antonio, TX 78229

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