When

Tuesday, December 31, 2019 at 11:55 PM CST
Add to Calendar

Where

STC-HPS

PO Box 29021
San Antonio, TX 78229

Event Address Map
Driving Directions

Contact

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

STC-HPS Membership Renewal Drive 2019

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

* Required information

Personal Information

  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • Fee

    Type Fee
    $20.00
    $10.00
    $200.00

Business Information

Additional Information

  • Select if the following statements are true:

  • Would you like to actively participate in a leadership position on the STC-HPS Executive Council?

  • Would you like to actively participate on a Committee on the STC-HPS Executive Council? If Yes, please select one or more Committees of interest below:

$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

Payment Summary



Register